Based on public Medicaid payment data.
Teryn Sedillo
Medicaid Provider in Fort Calhoun, NE
Type
Individual Provider
Address
5884 High Pasture Dr
Fort Calhoun, NE 680238201
Phone
9137048012
NPI
1346664141
Procedures
2
Total Claims
1.8K
Patients Served
1.8K
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 | $28.82 | 1,670 | 1,664 |
| Dental Filling | $77.16 | 165 | 124 |
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