Based on public Medicaid payment data.
Kenneth Eric Antonoff
Medicaid Provider in Kenosha, WI
Type
Individual Provider
Address
6803 Sheridan Rd
Kenosha, WI 531431321
Phone
2624844356
NPI
1205842721
Procedures
2
Total Claims
1.2K
Patients Served
1K
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 | $19.00 | 1,021 | 951 |
| Tooth Extraction | $75.96 | 134 | 73 |
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