Based on public Medicaid payment data.
David Edward Domaas
Medicaid Provider in Minneapolis, MN
Type
Individual Provider
Address
408 N 1St St
Minneapolis, MN 554011198
Phone
7632185350
NPI
1700045556
Procedures
2
Total Claims
3K
Patients Served
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 |
|---|---|---|---|
| Tooth Extraction | $122.00 | 2,236 | 317 |
| Dental Cleaning & Exam | $35.46 | 737 | 707 |
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