Based on public Medicaid payment data.
Daniel Ross Goeckermann
Medicaid Provider in Sheboygan, WI
Type
Individual Provider
Address
2926 S 12Th St
Sheboygan, WI 53081
Phone
9204521031
NPI
1407093180
Procedures
4
Total Claims
4.4K
Patients Served
3.9K
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 | $20.26 | 3,189 | 3,123 |
| Dental Filling | $40.95 | 941 | 671 |
| Tooth Extraction | $46.80 | 210 | 139 |
| Root Canal | $40.64 | 12 | 12 |
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