Based on public Medicaid payment data.
David Jerome Hagstrom
Medicaid Provider in Rochester, MN
Type
Individual Provider
Address
2112 Viking Dr Nw
Rochester, MN 559013522
Phone
5072881744
NPI
1639150006
Procedures
1
Total Claims
820
Patients Served
820
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 | $41.42 | 820 | 820 |
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