Based on public Medicaid payment data.
Nicolet Derose
Medicaid Provider in Racine, WI
Type
Individual Provider
Address
316 5Th St
Racine, WI 534034606
Phone
2625348662
NPI
1194892166
Procedures
4
Total Claims
24.5K
Patients Served
22.8K
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 | $31.72 | 22,443 | 21,564 |
| Dental Filling | $74.80 | 1,601 | 965 |
| Tooth Extraction | $63.07 | 417 | 281 |
| Root Canal | $66.44 | 44 | 39 |
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