Based on public Medicaid payment data.
Jonathon M. Pullara
Medicaid Provider in Dodgeville, WI
Type
Individual Provider
Address
103 E Fountain St
Dodgeville, WI 535331749
Phone
6089355550
NPI
1851885511
Procedures
4
Total Claims
4.6K
Patients Served
4.2K
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 | $0.01 | 3,575 | 3,459 |
| Dental Filling | $0.00 | 643 | 491 |
| Tooth Extraction | $0.00 | 406 | 210 |
| Dental Crown | $0.00 | 13 | 12 |
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