Based on public Medicaid payment data.
Adrienne R Holosko
Medicaid Provider in Munster, IN
Type
Individual Provider
Address
1630 45Th St Ste 104
Munster, IN 463213959
Phone
2199248766
NPI
1730741323
Procedures
3
Total Claims
1.9K
Patients Served
1.7K
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 | $41.56 | 1,399 | 1,368 |
| Dental Filling | $100.15 | 449 | 268 |
| Tooth Extraction | $137.15 | 63 | 37 |
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