Based on public Medicaid payment data.
Nathan Douglas Van Hofwegen
Medicaid Provider in Portage, MI
Type
Individual Provider
Address
621 W Centre Avenue
Portage, MI 49024
Phone
2693435386
NPI
1700018074
Procedures
4
Total Claims
803
Patients Served
666
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 | $34.28 | 507 | 507 |
| Dental Filling | $94.28 | 180 | 100 |
| Root Canal | $128.14 | 64 | 31 |
| Tooth Extraction | $79.28 | 52 | 28 |
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