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Based on public Medicaid payment data.

David Blong Shouanou Lee

Medicaid Provider in Sheboygan, WI

Type

Individual Provider

Address

825 Michigan Ave

Sheboygan, WI 53081

Phone

9204599010

NPI

1285846592

Procedures

1

Total Claims

1.9K

Patients Served

1.9K

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 $23.47 1,927 1,890

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