Based on public Medicaid payment data.
Dennis Anthony Icabone
Medicaid Provider in Fennville, MI
Type
Individual Provider
Address
202 E First Street
Fennville, MI 494080269
Phone
2695618661
NPI
1518022532
Procedures
1
Total Claims
25
Patients Served
25
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 | $35.54 | 25 | 25 |
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