Based on public Medicaid payment data.
Jon Leslie Sunstrom
Medicaid Provider in Boone, IA
Type
Individual Provider
Address
708 8Th St
Boone, IA 500362726
Phone
5154324223
NPI
1841404910
Procedures
1
Total Claims
654
Patients Served
638
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 | $22.48 | 654 | 638 |
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