Based on public Medicaid payment data.
Leighton Roger Holley
Medicaid Provider in Bonners Ferry, ID
Type
Individual Provider
Address
6839 Cody St
Bonners Ferry, ID 838058613
Phone
2145583202
NPI
1841613049
Procedures
3
Total Claims
2.2K
Patients Served
1.9K
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 | $36.01 | 1,923 | 1,833 |
| Dental Filling | $71.79 | 181 | 88 |
| Tooth Extraction | $71.37 | 55 | 13 |
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