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Based on public Medicaid payment data.

Stacey Ann Eby

Medicaid Provider in Fort Atkinson, WI

Type

Individual Provider

Address

211 Memorial Dr

Fort Atkinson, WI 535381981

Phone

9205632928

NPI

1801957030

Procedures

2

Total Claims

391

Patients Served

335

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 $16.02 363 316
Dental Filling $46.00 28 19

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