Based on public Medicaid payment data.
Katherine L. Simeth
Medicaid Provider in Rice Lake, WI
Type
Individual Provider
Address
1501 W Stout St
Rice Lake, WI 548685001
Phone
7152368900
NPI
1104108158
Procedures
3
Total Claims
14.5K
Patients Served
12.6K
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 | $16.89 | 10,660 | 10,283 |
| Dental Filling | $38.73 | 2,579 | 1,767 |
| Tooth Extraction | $30.05 | 1,244 | 585 |
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