Based on public Medicaid payment data.
Upali Elavia
Medicaid Provider in Union Grove, WI
Type
Individual Provider
Address
951 Main St Ste 100
Union Grove, WI 531821074
Phone
2628782422
NPI
1174008965
Procedures
4
Total Claims
8K
Patients Served
7.7K
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 | $33.61 | 6,609 | 6,576 |
| Dental Filling | $71.06 | 1,302 | 1,126 |
| Tooth Extraction | $78.20 | 29 | 27 |
| Dental Crown | $331.29 | 14 | 12 |
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