Based on public Medicaid payment data.
Orissa Nitibhon
Medicaid Provider in Menomonie, WI
Type
Individual Provider
Address
460 Crescent St
Menomonie, WI 547511827
Phone
7159729975
NPI
1902672066
Procedures
3
Total Claims
2.2K
Patients Served
2.1K
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 | $26.66 | 1,732 | 1,728 |
| Dental Filling | $66.63 | 373 | 287 |
| Tooth Extraction | $52.58 | 105 | 51 |
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