Based on public Medicaid payment data.
Maria Lisyansky
Medicaid Provider in Lakeville, MN
Type
Individual Provider
Address
16138 Pilot Knob Rd
Lakeville, MN 550444105
Phone
9526797779
NPI
1336712207
Procedures
3
Total Claims
13K
Patients Served
12K
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 | $46.71 | 10,730 | 10,664 |
| Dental Filling | $91.92 | 2,212 | 1,341 |
| Tooth Extraction | $8.92 | 18 | 12 |
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