Based on public Medicaid payment data.
Damon James Thielen
Medicaid Provider in Sioux Falls, SD
Type
Individual Provider
Address
3813 S Kiwanis Cir
Sioux Falls, SD 571054266
Phone
6052802337
NPI
1932467875
Procedures
3
Total Claims
251
Patients Served
107
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 | $108.82 | 132 | 38 |
| Root Canal | $123.79 | 76 | 29 |
| Dental Cleaning & Exam | $47.31 | 43 | 40 |
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