Based on public Medicaid payment data.
Svetlana Konstantinovna Sampson
Medicaid Provider in Fergus Falls, MN
Type
Individual Provider
Address
2001 W Lincoln Ave Ste 33
Fergus Falls, MN 565371010
Phone
2189982218
NPI
1386930485
Procedures
3
Total Claims
22K
Patients Served
18.7K
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 | $36.97 | 16,568 | 15,631 |
| Dental Filling | $100.56 | 5,351 | 3,008 |
| Tooth Extraction | $69.84 | 76 | 38 |
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