Based on public Medicaid payment data.
Gary John Peterson
Medicaid Provider in Antigo, WI
Type
Individual Provider
Address
2010 Progress Blvd
Antigo, WI 544092475
Phone
7156237221
NPI
1538289467
Procedures
1
Total Claims
122
Patients Served
113
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 | $0.00 | 122 | 113 |
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