Based on public Medicaid payment data.
Anna Lourdes Panlican Rivera
Medicaid Provider in Kenosha, WI
Type
Individual Provider
Address
6430 Green Bay Rd Ste 112
Kenosha, WI 531422948
Phone
2626533980
NPI
1598431421
Procedures
3
Total Claims
8.5K
Patients Served
7.3K
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 | $24.64 | 6,664 | 6,136 |
| Dental Filling | $52.98 | 1,784 | 1,118 |
| Tooth Extraction | $71.34 | 93 | 44 |
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