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Based on public Medicaid payment data.

Lakeshore Community Dental Clinic

Medicaid Provider in Cleveland, WI

Type

Organization

Address

1290 North Ave

Cleveland, WI 530151412

Phone

9206931386

NPI

1023275013

Procedures

1

Total Claims

818

Patients Served

805

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 $20.58 818 805

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