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Based on public Medicaid payment data.

Tina Marie Nissen

Medicaid Provider in Oconomowoc, WI

Type

Individual Provider

Address

856 Armour Rd Ste B

Oconomowoc, WI 530663976

Phone

2625694900

NPI

1255856043

Procedures

1

Total Claims

222

Patients Served

220

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 $26.92 222 220

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