Based on public Medicaid payment data.
Gonzalo E Hernandez
Medicaid Provider in Appleton, WI
Type
Individual Provider
Address
2612 E Calumet St
Appleton, WI 549154104
Phone
9207396808
NPI
1447292537
Procedures
1
Total Claims
294
Patients Served
276
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 | $22.96 | 294 | 276 |
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