Based on public Medicaid payment data.
Modern Dental Professionals - Utah, Pc
Medicaid Provider in American Fork, UT
Type
Organization
Address
476 N 900 W Ste A
American Fork, UT 840035200
Phone
8017565522
NPI
1740687706
Procedures
1
Total Claims
12
Patients Served
12
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 | $69.67 | 12 | 12 |
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