Based on public Medicaid payment data.
Evan C Koubsky
Medicaid Provider in Eau Claire, WI
Type
Individual Provider
Address
2302 Hendrickson Dr
Eau Claire, WI 547016185
Phone
7158360136
NPI
1134659576
Procedures
1
Total Claims
405
Patients Served
375
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 | $19.40 | 405 | 375 |
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