Based on public Medicaid payment data.
Jordan Dittberner
Medicaid Provider in White Bear Lake, MN
Type
Individual Provider
Address
4700 White Bear Pkwy
White Bear Lake, MN 551103336
Phone
6517627677
NPI
1174011597
Procedures
3
Total Claims
8.2K
Patients Served
6.6K
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 | $34.73 | 4,982 | 4,665 |
| Dental Filling | $118.02 | 3,091 | 1,855 |
| Tooth Extraction | $108.94 | 152 | 72 |
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