Based on public Medicaid payment data.
Joel A Supita
Medicaid Provider in Crivitz, WI
Type
Individual Provider
Address
519 N Us Highway 141
Crivitz, WI 541141639
Phone
7158547545
NPI
1922051895
Procedures
3
Total Claims
3.4K
Patients Served
2.5K
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 | $0.44 | 2,329 | 2,146 |
| Tooth Extraction | $2.79 | 1,038 | 389 |
| Dental Filling | $0.00 | 22 | 14 |
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