Based on public Medicaid payment data.
Mark Edward Gustafson
Medicaid Provider in Wooster, OH
Type
Individual Provider
Address
3431 Commerce Parkway
Wooster, OH 44691
Phone
3302648973
NPI
1114033214
Procedures
3
Total Claims
2.8K
Patients Served
2.4K
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 | $19.77 | 2,538 | 2,211 |
| Tooth Extraction | $48.07 | 160 | 100 |
| Dental Filling | $30.99 | 66 | 39 |
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