Based on public Medicaid payment data.
Susan L Shore-Vignola
Medicaid Provider in Lake City, MI
Type
Individual Provider
Address
213 S Canal St
Lake City, MI 496517929
Phone
2318392630
NPI
1952394439
Procedures
2
Total Claims
586
Patients Served
565
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 | $31.61 | 540 | 538 |
| Dental Filling | $82.66 | 46 | 27 |
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