Based on public Medicaid payment data.
Todd A Johnson
Medicaid Provider in Weston, WI
Type
Individual Provider
Address
5702 Memorial Ct
Weston, WI 544766502
Phone
7154961128
NPI
1407915291
Procedures
4
Total Claims
34.5K
Patients Served
28.9K
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 | $42.26 | 22,226 | 21,626 |
| Dental Filling | $113.21 | 9,002 | 5,614 |
| Tooth Extraction | $111.81 | 2,923 | 1,407 |
| Dental Crown | $108.02 | 356 | 258 |
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