Based on public Medicaid payment data.
Susan J Sup
Medicaid Provider in Grantsburg, WI
Type
Individual Provider
Address
302 S Pine St
Grantsburg, WI 548407930
Phone
3156572719
NPI
1093857799
Procedures
4
Total Claims
2.8K
Patients Served
2.4K
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 | $46.72 | 1,743 | 1,719 |
| Dental Filling | $119.92 | 1,038 | 674 |
| Tooth Extraction | $111.17 | 28 | 15 |
| Root Canal | $117.93 | 16 | 13 |
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