Based on public Medicaid payment data.
Adam David Koch
Medicaid Provider in Green Bay, WI
Type
Individual Provider
Address
315 S Monroe Ave
Green Bay, WI 543014013
Phone
9204373376
NPI
1710415542
Procedures
2
Total Claims
202
Patients Served
190
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 | $0.00 | 181 | 178 |
| Dental Filling | $0.00 | 21 | 12 |
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