Based on public Medicaid payment data.
Sumit Chanana
Medicaid Provider in Manitowoc, WI
Type
Individual Provider
Address
4125 Harbor Town Ln
Manitowoc, WI 542205855
Phone
9206863800
NPI
1396090734
Procedures
4
Total Claims
31.9K
Patients Served
24.1K
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 | $28.73 | 20,280 | 18,590 |
| Tooth Extraction | $86.72 | 6,234 | 2,697 |
| Dental Filling | $79.88 | 5,356 | 2,812 |
| Root Canal | $103.11 | 62 | 44 |
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