Based on public Medicaid payment data.
Jose Antonio Gonzalez
Medicaid Provider in Oconomowoc, WI
Type
Individual Provider
Address
888 Thackeray Trl Ste 214
Oconomowoc, WI 530664342
Phone
2625679116
NPI
1508430091
Procedures
3
Total Claims
7.6K
Patients Served
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 | $25.29 | 7,482 | 6,984 |
| Tooth Extraction | $49.18 | 76 | 42 |
| Dental Filling | $100.65 | 18 | 13 |
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