Based on public Medicaid payment data.
Justine Calazan Manalastas
Medicaid Provider in Tucson, AZ
Type
Individual Provider
Address
5504 E 22Nd St Ste 140
Tucson, AZ 857115586
Phone
5207770790
NPI
1174879449
Procedures
3
Total Claims
20.3K
Patients Served
17.3K
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 | $27.83 | 15,118 | 14,488 |
| Dental Filling | $30.92 | 4,564 | 2,451 |
| Tooth Extraction | $43.59 | 581 | 325 |
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