Based on public Medicaid payment data.
Northwestern Band Of The Shoshone
Medicaid Provider in Brigham City, UT
Type
Organization
Address
984 S 500 W Ste 3
Brigham City, UT 843024712
Phone
4352398524
NPI
1841856986
Procedures
4
Total Claims
20.2K
Patients Served
14K
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 | $394.86 | 16,671 | 11,723 |
| Dental Filling | $248.92 | 2,991 | 1,955 |
| Tooth Extraction | $174.45 | 305 | 102 |
| Dental Crown | $356.77 | 275 | 199 |
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