Based on public Medicaid payment data.
Shruti Jagannathan
Medicaid Provider in Maple Grove, MN
Type
Individual Provider
Address
11301 Fountains Dr
Maple Grove, MN 553697200
Phone
7637627177
NPI
1134795602
Procedures
3
Total Claims
1.6K
Patients Served
1.6K
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 | $47.72 | 1,555 | 1,550 |
| Tooth Extraction | $106.02 | 62 | 25 |
| Dental Filling | $79.99 | 23 | 14 |
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