Based on public Medicaid payment data.
Scott Eugene Hansen
Medicaid Provider in Davenport, IA
Type
Individual Provider
Address
5216 Sheridan St Ste 160
Davenport, IA 528063972
Phone
5633867540
NPI
1295828101
Procedures
4
Total Claims
31K
Patients Served
27.1K
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 | $25.37 | 21,516 | 21,000 |
| Dental Filling | $65.85 | 8,557 | 5,659 |
| Tooth Extraction | $51.76 | 834 | 350 |
| Dental Crown | $265.19 | 118 | 77 |
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