Based on public Medicaid payment data.
Evan E Entze
Medicaid Provider in Dickinson, ND
Type
Individual Provider
Address
669 12Th St W
Dickinson, ND 586013554
Phone
7014834746
NPI
1841898855
Procedures
2
Total Claims
1.4K
Patients Served
1.4K
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 | $41.02 | 1,404 | 1,349 |
| Dental Filling | $115.19 | 40 | 25 |
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