Based on public Medicaid payment data.
Lisa Marie Roseman
Medicaid Provider in Harlem, MT
Type
Individual Provider
Address
669 Agency Main St
Harlem, MT 595269455
Phone
4063533100
NPI
1124582515
Procedures
1
Total Claims
39
Patients Served
39
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 | $32.74 | 39 | 39 |
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