Based on public Medicaid payment data.
Donald K Moen
Medicaid Provider in Lewistown, MT
Type
Individual Provider
Address
505 W Main Street
Lewistown, MT 594570703
Phone
4065382376
NPI
1720115363
Procedures
1
Total Claims
534
Patients Served
527
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 | $38.22 | 534 | 527 |
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