Based on public Medicaid payment data.
Jon Hallie
Medicaid Provider in Roseau, MN
Type
Individual Provider
Address
201 4Th Ave Nw
Roseau, MN 567511033
Phone
2184632553
NPI
1063892313
Procedures
1
Total Claims
48
Patients Served
48
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 | $28.40 | 48 | 48 |
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