Based on public Medicaid payment data.
Carl Arthur Hansen
Medicaid Provider in Fayetteville, WV
Type
Individual Provider
Address
215 North Court St
Fayetteville, WV 25840
Phone
3045741363
NPI
1922171024
Procedures
2
Total Claims
207
Patients Served
178
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 | $26.83 | 176 | 166 |
| Tooth Extraction | $74.92 | 31 | 12 |
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