Based on public Medicaid payment data.
Virginia Bautista
Medicaid Provider in Redlake, MN
Type
Individual Provider
Address
24760 Hospital Drive
Redlake, MN 56671
Phone
2186790119
NPI
1033878848
Procedures
3
Total Claims
1.2K
Patients Served
708
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 | $68.76 | 695 | 456 |
| Tooth Extraction | $109.74 | 315 | 142 |
| Dental Filling | $58.15 | 222 | 110 |
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