Based on public Medicaid payment data.
Jerry Lee
Medicaid Provider in Woodbury, MN
Type
Individual Provider
Address
683 Bielenberg Dr Ste 205
Woodbury, MN 551251715
Phone
6512004747
NPI
1447772371
Procedures
1
Total Claims
165
Patients Served
165
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 | $21.54 | 165 | 165 |
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