Based on public Medicaid payment data.
Saul Ovalle
Medicaid Provider in Mankato, MN
Type
Individual Provider
Address
212 Star St
Mankato, MN 560014825
Phone
5073874078
NPI
1629066840
Procedures
4
Total Claims
3.4K
Patients Served
3.2K
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 | $50.04 | 2,935 | 2,891 |
| Prescription Medications | $0.34 | 286 | 203 |
| Tooth Extraction | $119.84 | 105 | 56 |
| Dental Filling | $118.55 | 94 | 42 |
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