Based on public Medicaid payment data.
Kailey Anne Smith Housley
Medicaid Provider in Ammon, ID
Type
Individual Provider
Address
3015 Eagle Dr
Ammon, ID 834061273
Phone
2084193622
NPI
1831504125
Procedures
3
Total Claims
18.6K
Patients Served
17K
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 | $32.83 | 15,037 | 14,943 |
| Dental Filling | $67.23 | 2,759 | 1,688 |
| Tooth Extraction | $34.56 | 794 | 399 |
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