Based on public Medicaid payment data.
Dawn Nichelle Delavallade
Medicaid Provider in Eden Prairie, MN
Type
Individual Provider
Address
11995 Singletree Ln Ste 500
Eden Prairie, MN 553445349
Phone
9525951301
NPI
1750445086
Procedures
2
Total Claims
370
Patients Served
314
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 |
|---|---|---|---|
| X-Ray | $4.62 | 285 | 235 |
| CT Scan (Computed Tomography) | $52.08 | 85 | 79 |
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