Based on public Medicaid payment data.
Kerri Sue Gustafson
Medicaid Provider in Roseville, MI
Type
Individual Provider
Address
18245 E 10 Mile Rd
Roseville, MI 480665807
Phone
5865852402
NPI
1316910763
Procedures
3
Total Claims
6.9K
Patients Served
6.7K
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 | $33.95 | 6,323 | 6,283 |
| Dental Filling | $52.74 | 417 | 313 |
| Tooth Extraction | $62.50 | 178 | 116 |
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