Based on public Medicaid payment data.
Eric Maitland Dvorak
Medicaid Provider in Green Bay, WI
Type
Individual Provider
Address
744 S Webster Ave
Green Bay, WI 543052487
Phone
9204457210
NPI
1003986845
Procedures
1
Total Claims
347
Patients Served
250
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 |
|---|---|---|---|
| Prescription Medications | $615.82 | 347 | 250 |
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