Based on public Medicaid payment data.
Susan Jeanne Polis
Medicaid Provider in Homer, AK
Type
Individual Provider
Address
549 Grubstake Ave
Homer, AK 996037640
Phone
9072351286
NPI
1023144540
Procedures
2
Total Claims
141
Patients Served
119
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 | $62.86 | 122 | 107 |
| Dental Filling | $89.20 | 19 | 12 |
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