Based on public Medicaid payment data.
Daniel Jason Dejarlais
Medicaid Provider in Madison, WI
Type
Individual Provider
Address
7001 Old Sauk Rd
Madison, WI 537172308
Phone
6088336545
NPI
1669573895
Procedures
3
Total Claims
20.9K
Patients Served
20.1K
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 | $23.48 | 18,976 | 18,709 |
| Dental Filling | $72.67 | 1,835 | 1,347 |
| Tooth Extraction | $67.26 | 100 | 63 |
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