Based on public Medicaid payment data.
Josephine Maryetta Van Ess
Medicaid Provider in Green Bay, WI
Type
Individual Provider
Address
1640 Main St
Green Bay, WI 543022639
Phone
9204686371
NPI
1700309978
Procedures
2
Total Claims
490
Patients Served
465
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 | $19.83 | 445 | 436 |
| Dental Filling | $55.13 | 45 | 29 |
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