Based on public Medicaid payment data.
Thomas P. Pfotenhauer
Medicaid Provider in Escanaba, MI
Type
Individual Provider
Address
524 Ludington St Ste 103
Escanaba, MI 498293949
Phone
9067899949
NPI
1497976773
Procedures
2
Total Claims
199
Patients Served
136
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 | $29.33 | 128 | 123 |
| Dental Filling | $92.48 | 71 | 13 |
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