Based on public Medicaid payment data.
Ty Erickson
Medicaid Provider in West Des Moines, IA
Type
Individual Provider
Address
4855 Mills Civic Pkwy Ste 201
West Des Moines, IA 502655268
Phone
5155774488
NPI
1275669830
Procedures
1
Total Claims
78
Patients Served
75
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 | $26.83 | 78 | 75 |
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