Based on public Medicaid payment data.
Troy R Petersen
Medicaid Provider in Grand Forks, ND
Type
Individual Provider
Address
1165C South Columbia Road
Grand Forks, ND 582014007
Phone
7017727379
NPI
1073697157
Procedures
2
Total Claims
2.8K
Patients Served
1.7K
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 |
|---|---|---|---|
| Tooth Extraction | $208.59 | 1,423 | 516 |
| Dental Cleaning & Exam | $37.56 | 1,381 | 1,196 |
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