Based on public Medicaid payment data.
Kelby James Olson
Medicaid Provider in Burley, ID
Type
Individual Provider
Address
1361 E 16Th St
Burley, ID 833182008
Phone
2086775198
NPI
1609005966
Procedures
3
Total Claims
2.2K
Patients Served
2.1K
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 | $0.00 | 1,795 | 1,786 |
| Dental Filling | $0.89 | 246 | 170 |
| Tooth Extraction | $0.00 | 201 | 123 |
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