Based on public Medicaid payment data.
Andrew Smith
Medicaid Provider in Bonney Lake, WA
Type
Individual Provider
Address
19657 Wa-410
Bonney Lake, WA 98391
Phone
2537807003
NPI
1487327219
Procedures
3
Total Claims
12.5K
Patients Served
9.3K
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 Filling | $81.68 | 5,900 | 3,653 |
| Dental Cleaning & Exam | $42.23 | 5,815 | 5,450 |
| Tooth Extraction | $55.03 | 739 | 246 |
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