Based on public Medicaid payment data.
Gentry Michael Hansen
Medicaid Provider in Sioux City, IA
Type
Individual Provider
Address
5828 Sunnybrook Dr
Sioux City, IA 511064253
Phone
7128239654
NPI
1235497975
Procedures
2
Total Claims
3K
Patients Served
1.7K
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 |
|---|---|---|---|
| Tooth Extraction | $209.26 | 1,947 | 646 |
| Dental Cleaning & Exam | $20.63 | 1,055 | 1,022 |
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