Based on public Medicaid payment data.
Noland William Broekemier
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
11110 Fort St Ste 106
Omaha, NE 681642183
Phone
4024928300
NPI
1265925853
Procedures
4
Total Claims
5.7K
Patients Served
5.2K
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 | $22.88 | 4,806 | 4,529 |
| Dental Filling | $65.59 | 816 | 550 |
| Dental Crown | $383.23 | 104 | 97 |
| Tooth Extraction | $89.10 | 21 | 19 |
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