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Based on public Medicaid payment data.

Jared John Gustafson

Medicaid Provider in Arlington, MN

Type

Individual Provider

Address

106 3Rd Ave Nw

Arlington, MN 553072099

Phone

5079642705

NPI

1073806303

Procedures

1

Total Claims

12

Patients Served

12

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 $34.60 12 12

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