Based on public Medicaid payment data.
South Davis Pediatric Dentistry Llc
Medicaid Provider in Bountiful, UT
Type
Organization
Address
59 W Pages Ln Ste 110
Bountiful, UT 840105988
Phone
8012948880
NPI
1841891462
Procedures
2
Total Claims
1.1K
Patients Served
1K
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 | $35.63 | 1,030 | 1,023 |
| Dental Filling | $85.68 | 63 | 12 |
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