Based on public Medicaid payment data.
David J Burrichter
Medicaid Provider in Montevideo, MN
Type
Individual Provider
Address
209 S 1St St
Montevideo, MN 562651412
Phone
3202696406
NPI
1255531133
Procedures
5
Total Claims
23.1K
Patients Served
17.5K
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 | $49.96 | 11,798 | 11,683 |
| Dental Filling | $103.55 | 7,483 | 4,549 |
| Tooth Extraction | $167.37 | 3,475 | 1,018 |
| Dental Crown | $1,077 | 307 | 181 |
| Root Canal | $752.06 | 65 | 57 |
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