Based on public Medicaid payment data.
John Ottesen
Medicaid Provider in Manchester Center, VT
Type
Individual Provider
Address
74 Longview Drive
Manchester Center, VT 05255
Phone
3157615366
NPI
1316087828
Procedures
3
Total Claims
11.2K
Patients Served
10.2K
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 | $24.30 | 8,804 | 8,512 |
| Dental Filling | $45.52 | 2,355 | 1,712 |
| Tooth Extraction | $44.37 | 12 | 12 |
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