Based on public Medicaid payment data.
Krista Monique Thelen
Medicaid Provider in Champlin, MN
Type
Individual Provider
Address
11269 Jefferson Hwy N
Champlin, MN 553163123
Phone
7634215206
NPI
1699834150
Procedures
1
Total Claims
50
Patients Served
50
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 | $22.34 | 50 | 50 |
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