Based on public Medicaid payment data.
Devon James Blob
Medicaid Provider in Appleton, WI
Type
Individual Provider
Address
2563 E Calumet St
Appleton, WI 549154748
Phone
9207316416
NPI
1568148138
Procedures
2
Total Claims
2.5K
Patients Served
2K
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 | $46.97 | 1,514 | 1,395 |
| Dental Filling | $93.47 | 968 | 648 |
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