Based on public Medicaid payment data.
Thomas Joe Larson
Medicaid Provider in Fairmont, MN
Type
Individual Provider
Address
800 Clinic Circle
Fairmont, MN 56031
Phone
5072355985
NPI
1417099813
Procedures
2
Total Claims
1.2K
Patients Served
1.1K
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 | $49.74 | 1,061 | 1,046 |
| Dental Filling | $103.27 | 169 | 103 |
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