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Based on public Medicaid payment data.

Thomas Robert Machak

Medicaid Provider in Omro, WI

Type

Individual Provider

Address

123 W Main St

Omro, WI 549631333

Phone

9206855893

NPI

1790752020

Procedures

3

Total Claims

3.1K

Patients Served

2.1K

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 $19.99 1,847 1,811
Tooth Extraction $83.26 1,088 234
Dental Filling $58.30 143 67

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