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Based on public Medicaid payment data.

Andrew D Welles

Medicaid Provider in Weston, WI

Type

Individual Provider

Address

8055 Meadow Rock Dr

Weston, WI 544765233

Phone

7152416800

NPI

1891189759

Procedures

3

Total Claims

2K

Patients Served

1.8K

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 $3.80 1,514 1,476
Dental Filling $4.43 429 269
Tooth Extraction $0.00 47 29

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