Based on public Medicaid payment data.
Tracie Moya
Medicaid Provider in Appleton, WI
Type
Individual Provider
Address
5337 W Grande Market Drive
Appleton, WI 549135491
Phone
9207317445
NPI
1154039345
Procedures
1
Total Claims
457
Patients Served
433
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 | 457 | 433 |
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