Based on public Medicaid payment data.
Timothy Mcmichael Theisen
Medicaid Provider in Erie, PA
Type
Individual Provider
Address
4330 Peach St
Erie, PA 165091443
Phone
8143156209
NPI
1003259797
Procedures
1
Total Claims
15
Patients Served
15
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 | $19.93 | 15 | 15 |
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