Based on public Medicaid payment data.
Mark Allen Roettger
Medicaid Provider in Lake Elmo, MN
Type
Individual Provider
Address
12425 55Th Street N
Lake Elmo, MN 550424450
Phone
6514390322
NPI
1356325906
Procedures
2
Total Claims
356
Patients Served
263
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 | $43.01 | 240 | 233 |
| Tooth Extraction | $104.97 | 116 | 30 |
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