Based on public Medicaid payment data.
Marisa Ann Heisterkamp
Medicaid Provider in Des Moines, IA
Type
Individual Provider
Address
615 E 14Th St
Des Moines, IA 503163508
Phone
5152622655
NPI
1780244699
Procedures
4
Total Claims
20K
Patients Served
18.4K
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 | $25.12 | 17,030 | 16,670 |
| Dental Filling | $67.60 | 2,308 | 1,471 |
| Tooth Extraction | $47.76 | 623 | 262 |
| Dental Crown | $344.27 | 13 | 12 |
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