Based on public Medicaid payment data.
Matthew Serbousek
Medicaid Provider in Grand Island, NE
Type
Individual Provider
Address
638 N Webb Rd Ste 1
Grand Island, NE 688034057
Phone
3083402568
NPI
1235579533
Procedures
1
Total Claims
155
Patients Served
155
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 | $27.21 | 155 | 155 |
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