Based on public Medicaid payment data.
Anthony David Dicello
Medicaid Provider in Tuba City, AZ
Type
Individual Provider
Address
167 North Main Street
Tuba City, AZ 86045
Phone
2022700441
NPI
1952537128
Procedures
2
Total Claims
1.4K
Patients Served
1.3K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $3.55 | 1,363 | 1,279 |
| Dental Filling | $0.00 | 25 | 13 |
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