Based on public Medicaid payment data.
Charles A Davis
Medicaid Provider in Tucson, AZ
Type
Individual Provider
Address
716 N Country Club Rd
Tucson, AZ 857164591
Phone
5203268516
NPI
1417260936
Procedures
4
Total Claims
21.9K
Patients Served
20.7K
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 | $15.74 | 21,502 | 20,477 |
| Root Canal | $53.29 | 309 | 120 |
| Dental Filling | $47.56 | 88 | 65 |
| Tooth Extraction | $69.69 | 38 | 12 |
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