Based on public Medicaid payment data.
Elsie Pelowook
Medicaid Provider in Nome, AK
Type
Individual Provider
Address
1000 Greg Kruschek Ave
Nome, AK 99762
Phone
9074433309
NPI
1356765838
Procedures
3
Total Claims
909
Patients Served
782
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 | $602.96 | 777 | 708 |
| Tooth Extraction | $78.75 | 72 | 45 |
| Dental Filling | $148.84 | 60 | 29 |
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