Based on public Medicaid payment data.
Ebosetale Odiaogbe Okoruwa
Medicaid Provider in Cottage Grove, MN
Type
Individual Provider
Address
6936 Pine Arbor Dr S Ste 230
Cottage Grove, MN 550164645
Phone
6512045257
NPI
1417444332
Procedures
4
Total Claims
2.5K
Patients Served
2.4K
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 | $43.76 | 2,222 | 2,206 |
| Dental Filling | $100.02 | 157 | 91 |
| Tooth Extraction | $111.15 | 54 | 25 |
| Root Canal | $102.95 | 50 | 28 |
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