Based on public Medicaid payment data.
Kristal Sue Wilmes
Medicaid Provider in Tyler, MN
Type
Individual Provider
Address
197 N Tyler St
Tyler, MN 561781160
Phone
5073800127
NPI
1982194098
Procedures
2
Total Claims
583
Patients Served
571
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 | $34.59 | 565 | 559 |
| Dental Filling | $46.17 | 18 | 12 |
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