Based on public Medicaid payment data.
Matthew Casper Moen
Medicaid Provider in Lewistown, MT
Type
Individual Provider
Address
215 Wunderlin St
Lewistown, MT 594572200
Phone
4065382376
NPI
1417188178
Procedures
1
Total Claims
4K
Patients Served
3.8K
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 | $37.86 | 4,027 | 3,829 |
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