Based on public Medicaid payment data.
Rolf P Moen
Medicaid Provider in Brainerd, MN
Type
Individual Provider
Address
402 James Street
Brainerd, MN 564012965
Phone
2188294243
NPI
1275696387
Procedures
1
Total Claims
13
Patients Served
13
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 | $25.41 | 13 | 13 |
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