Based on public Medicaid payment data.
Thomas Jason Nomeland
Medicaid Provider in Faribault, MN
Type
Individual Provider
Address
412 Heritage Pl
Faribault, MN 550215248
Phone
5073347595
NPI
1174628622
Procedures
3
Total Claims
885
Patients Served
777
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 | $52.29 | 568 | 562 |
| Dental Filling | $93.85 | 167 | 114 |
| Tooth Extraction | $114.00 | 150 | 101 |
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