Based on public Medicaid payment data.
Ashley Jan
Medicaid Provider in Green Bay, WI
Type
Individual Provider
Address
1931 Main St
Green Bay, WI 543023920
Phone
8889884066
NPI
1568020238
Procedures
3
Total Claims
6.4K
Patients Served
4.5K
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 | $39.87 | 3,059 | 2,928 |
| Dental Filling | $112.45 | 2,186 | 1,113 |
| Tooth Extraction | $120.03 | 1,173 | 492 |
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