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Based on public Medicaid payment data.

Krista S Primley

Medicaid Provider in Green Bay, WI

Type

Individual Provider

Address

2581 Development Dr

Green Bay, WI 543114247

Phone

9203470400

NPI

1073013025

Procedures

2

Total Claims

148

Patients Served

114

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 $66.76 99 97
Tooth Extraction $149.02 49 17

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