Based on public Medicaid payment data.
Theodore James
Medicaid Provider in Ammon, ID
Type
Individual Provider
Address
2677 E 17Th St Ste 600
Ammon, ID 834066619
Phone
2087059652
NPI
1841726593
Procedures
2
Total Claims
138
Patients Served
123
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 | $9.05 | 102 | 92 |
| Office Visit | $69.92 | 36 | 31 |
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