Based on public Medicaid payment data.
Dustin Michael Smolenski
Medicaid Provider in Davenport, IA
Type
Individual Provider
Address
5105 Jersey Ridge Rd
Davenport, IA 528073134
Phone
5633599144
NPI
1245469881
Procedures
1
Total Claims
16
Patients Served
14
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 | $13.30 | 16 | 14 |
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