Based on public Medicaid payment data.
Kimball Gray Mack
Medicaid Provider in Boise, ID
Type
Individual Provider
Address
4255 N Eagle Rd Ste 102
Boise, ID 837130701
Phone
2083446300
NPI
1659809200
Procedures
1
Total Claims
225
Patients Served
221
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 | $27.87 | 225 | 221 |
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