Based on public Medicaid payment data.
Phil Noble Ruckman
Medicaid Provider in Fort Wayne, IN
Type
Individual Provider
Address
6405 Georgetown North Blvd
Fort Wayne, IN 468157007
Phone
2604850583
NPI
1861711244
Procedures
2
Total Claims
94
Patients Served
51
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 |
|---|---|---|---|
| Tooth Extraction | $154.20 | 55 | 12 |
| Dental Cleaning & Exam | $48.72 | 39 | 39 |
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