Based on public Medicaid payment data.
Brian M Thielen
Medicaid Provider in Green Bay, WI
Type
Individual Provider
Address
1543 Park Pl
Green Bay, WI 543041970
Phone
9204053600
NPI
1104972033
Procedures
3
Total Claims
1.3K
Patients Served
955
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 | $3.92 | 770 | 660 |
| Dental Filling | $14.95 | 413 | 240 |
| Tooth Extraction | $7.07 | 166 | 55 |
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