Based on public Medicaid payment data.
Shawn Ray Petersen
Medicaid Provider in Atlantic, IA
Type
Individual Provider
Address
1501 E 10Th St
Atlantic, IA 500221936
Phone
7122431833
NPI
1437363058
Procedures
1
Total Claims
45
Patients Served
42
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 | $29.79 | 45 | 42 |
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