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Based on public Medicaid payment data.

Pannaporn Stephenson

Medicaid Provider in Stillwater, MN

Type

Individual Provider

Address

13173 60Th St N

Stillwater, MN 550821056

Phone

6513211007

NPI

1104491380

Procedures

3

Total Claims

2.5K

Patients Served

2.1K

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 $48.04 1,588 1,494
Dental Filling $83.84 636 420
Tooth Extraction $104.81 284 211

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