Based on public Medicaid payment data.
John D Andersen
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
13215 Birch St
Omaha, NE 681645431
Phone
4023900770
NPI
1306940770
Procedures
2
Total Claims
120
Patients Served
95
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 | $31.93 | 85 | 82 |
| Tooth Extraction | $177.16 | 35 | 13 |
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