Based on public Medicaid payment data.
Samantha Michelle Fonkert Hanson
Medicaid Provider in Brooklyn Park, MN
Type
Individual Provider
Address
7710 Brooklyn Blvd Fl 1
Brooklyn Park, MN 554432979
Phone
6512929331
NPI
1528742137
Procedures
2
Total Claims
679
Patients Served
648
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 | $49.19 | 604 | 597 |
| Dental Filling | $105.72 | 75 | 51 |
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