Based on public Medicaid payment data.
Hunter Dietrich Rolf
Medicaid Provider in Buckner, MO
Type
Individual Provider
Address
324 S Hudson St
Buckner, MO 640168142
Phone
8162491521
NPI
1083191548
Procedures
3
Total Claims
2.5K
Patients Served
2.1K
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 | $63.58 | 2,129 | 2,013 |
| Tooth Extraction | $137.03 | 281 | 72 |
| Dental Filling | $152.21 | 41 | 24 |
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