Based on public Medicaid payment data.
Baha Qablawi
Medicaid Provider in Manitowoc, WI
Type
Individual Provider
Address
4144 Harbor Town Ln Ste 600
Manitowoc, WI 542205856
Phone
9206832101
NPI
1568946390
Procedures
4
Total Claims
5.9K
Patients Served
4.6K
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 | $29.05 | 3,290 | 3,230 |
| Dental Filling | $81.38 | 1,439 | 912 |
| Tooth Extraction | $102.83 | 1,133 | 443 |
| Root Canal | $183.83 | 18 | 12 |
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