Based on public Medicaid payment data.
Richard D Devorak
Medicaid Provider in Duluth, MN
Type
Individual Provider
Address
4325 Grand Ave
Duluth, MN 558072730
Phone
2186287035
NPI
1982765319
Procedures
3
Total Claims
6.2K
Patients Served
5.4K
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 | $242.25 | 4,308 | 4,051 |
| Dental Filling | $159.61 | 1,864 | 1,367 |
| Tooth Extraction | $119.78 | 36 | 25 |
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