Based on public Medicaid payment data.
Randal Todd Wilson
Medicaid Provider in Burley, ID
Type
Individual Provider
Address
1309 Bennett Ave
Burley, ID 833182676
Phone
2086775198
NPI
1063846459
Procedures
3
Total Claims
1.8K
Patients Served
1.7K
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 | 1,483 | 1,476 |
| Dental Filling | $2.15 | 257 | 178 |
| Tooth Extraction | $0.00 | 40 | 26 |
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