Based on public Medicaid payment data.
Peter Gontarz
Medicaid Provider in Saint Ann, MO
Type
Individual Provider
Address
500 Nw Plaza Dr Ste 524
Saint Ann, MO 630742220
Phone
5737510042
NPI
1295265320
Procedures
2
Total Claims
3.2K
Patients Served
2.8K
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 | $25.76 | 2,537 | 2,498 |
| Dental Filling | $55.84 | 629 | 329 |
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