Based on public Medicaid payment data.
Michelle Lee Cannon
Medicaid Provider in Superior, WI
Type
Individual Provider
Address
2217 E 8Th St
Superior, WI 548803714
Phone
2185915716
NPI
1063797959
Procedures
1
Total Claims
248
Patients Served
248
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 | $20.99 | 248 | 248 |
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