Based on public Medicaid payment data.
Fond Du Lac County
Medicaid Provider in Fond Du Lac, WI
Type
Organization
Address
160 S Macy St
Fond Du Lac, WI 549354241
Phone
9209293085
NPI
1285606178
Procedures
7
Total Claims
13.1K
Patients Served
11.1K
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 | $22.59 | 7,671 | 7,451 |
| Dental Filling | $75.71 | 1,992 | 1,125 |
| Case Management Services | $19.59 | 1,598 | 1,446 |
| Office Visit | $5.83 | 700 | 430 |
| Tooth Extraction | $46.61 | 599 | 356 |
| Blood Work & Lab Tests | $1.44 | 465 | 249 |
| Vaccines & Immunizations | $13.94 | 88 | 77 |
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