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Based on public Medicaid payment data.

Tore Detlie

Medicaid Provider in Maplewood, MN

Type

Individual Provider

Address

918 Demont Ave E

Maplewood, MN 551091953

Phone

9525951100

NPI

1841240686

Procedures

2

Total Claims

272

Patients Served

268

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
Mammogram $65.11 259 256
Ultrasound $54.16 13 12

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