Based on public Medicaid payment data.
Jisoo Hong
Medicaid Provider in Manitowoc, WI
Type
Individual Provider
Address
2719 Calumet Ave
Manitowoc, WI 542205546
Phone
9206862333
NPI
1902509466
Procedures
2
Total Claims
616
Patients Served
543
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 | $20.33 | 570 | 505 |
| Tooth Extraction | $51.04 | 46 | 38 |
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