Based on public Medicaid payment data.
Health Source Dental Clinic
Medicaid Provider in Cambridge, MN
Type
Organization
Address
140 Birch St. N
Cambridge, MN 55008
Phone
7633474399
NPI
1508962994
Procedures
2
Total Claims
928
Patients Served
913
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 | $19.20 | 911 | 901 |
| Dental Filling | $29.25 | 17 | 12 |
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