Based on public Medicaid payment data.
Sally A Johnson
Medicaid Provider in Coon Rapids, MN
Type
Individual Provider
Address
11475 Robinson Dr Nw
Coon Rapids, MN 55433
Phone
7637540041
NPI
1609979103
Procedures
1
Total Claims
160
Patients Served
154
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 | $38.77 | 160 | 154 |
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