Based on public Medicaid payment data.
Cody John Holmgren
Medicaid Provider in Portage, IN
Type
Individual Provider
Address
6050 Sterling Creek Rd
Portage, IN 463687752
Phone
2197638112
NPI
1952183089
Procedures
2
Total Claims
735
Patients Served
721
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 | $27.02 | 701 | 696 |
| Dental Filling | $59.37 | 34 | 25 |
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