Based on public Medicaid payment data.
Lolita Hicks
Medicaid Provider in Rochester, MN
Type
Individual Provider
Address
1290 Salem Rd Sw Ste 10
Rochester, MN 559024210
Phone
9792206972
NPI
1164036422
Procedures
3
Total Claims
2.5K
Patients Served
2.1K
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 | $292.77 | 1,929 | 1,728 |
| Dental Filling | $336.94 | 351 | 258 |
| Tooth Extraction | $264.36 | 243 | 163 |
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