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Based on public Medicaid payment data.

Adam Theodore Woroniecki

Medicaid Provider in Omaha, NE

Type

Individual Provider

Address

8200 Dodge St

Omaha, NE 681144113

Phone

4025596100

NPI

1275141939

Procedures

3

Total Claims

12.2K

Patients Served

9.1K

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 $30.77 9,687 7,706
Dental Filling $86.00 1,949 1,136
Tooth Extraction $77.77 520 258

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