Based on public Medicaid payment data.
Hazel E Moore
Medicaid Provider in Kenosha, WI
Type
Individual Provider
Address
4536 22Nd Ave
Kenosha, WI 531405917
Phone
2626560044
NPI
1114914066
Procedures
2
Total Claims
1.7K
Patients Served
1.6K
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 | $16.78 | 1,313 | 1,237 |
| Dental Filling | $36.07 | 425 | 322 |
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