Based on public Medicaid payment data.
Kasheena S Hollis
Medicaid Provider in Sun Prairie, WI
Type
Individual Provider
Address
1270 W Main St
Sun Prairie, WI 535901930
Phone
6084435482
NPI
1417260712
Procedures
3
Total Claims
40.6K
Patients Served
37K
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 | $29.42 | 34,790 | 33,544 |
| Dental Filling | $100.03 | 4,109 | 2,671 |
| Tooth Extraction | $57.56 | 1,681 | 763 |
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