Based on public Medicaid payment data.
Katrina Sicam Pavlichek
Medicaid Provider in Amery, WI
Type
Individual Provider
Address
Po Box 106
Amery, WI 540010106
Phone
7152682103
NPI
1801469838
Procedures
2
Total Claims
1.8K
Patients Served
1.7K
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 | $46.20 | 1,612 | 1,611 |
| Dental Filling | $91.92 | 198 | 127 |
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