Based on public Medicaid payment data.
Terry Bolamperti
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
14481 W Center Rd
Omaha, NE 681445401
Phone
4023302007
NPI
1992793053
Procedures
1
Total Claims
13
Patients Served
13
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 | $20.31 | 13 | 13 |
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