Based on public Medicaid payment data.
Chad William Petersen
Medicaid Provider in Cheyenne, WY
Type
Individual Provider
Address
6238 Yellowstone Rd
Cheyenne, WY 820093432
Phone
3076356940
NPI
1336582212
Procedures
2
Total Claims
214
Patients Served
169
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 | $47.03 | 129 | 124 |
| Tooth Extraction | $227.78 | 85 | 45 |
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