Based on public Medicaid payment data.
Kelley Marie Dentino
Medicaid Provider in Menomonee Falls, WI
Type
Individual Provider
Address
W178N9201 Water Tower Pl
Menomonee Falls, WI 530518044
Phone
2622518704
NPI
1609276120
Procedures
2
Total Claims
632
Patients Served
531
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 | $35.69 | 452 | 440 |
| Dental Filling | $94.89 | 180 | 91 |
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