Based on public Medicaid payment data.
Tony Lee Pilgrim
Medicaid Provider in Fall Creek, WI
Type
Individual Provider
Address
122 S. State St.
Fall Creek, WI 547420066
Phone
7158772113
NPI
1861545055
Procedures
1
Total Claims
1.9K
Patients Served
1.8K
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 | $19.53 | 1,866 | 1,762 |
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