Based on public Medicaid payment data.
Ashley M. Tietgen
Medicaid Provider in Bellevue, NE
Type
Individual Provider
Address
1411 J F Kennedy Dr
Bellevue, NE 680053639
Phone
4022916577
NPI
1932588969
Procedures
3
Total Claims
13.8K
Patients Served
13.6K
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 | $27.35 | 13,400 | 13,276 |
| Dental Filling | $89.93 | 363 | 231 |
| Tooth Extraction | $96.90 | 69 | 46 |
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