Based on public Medicaid payment data.
Derrik Porter Walton
Medicaid Provider in Cody, WY
Type
Individual Provider
Address
1525 Bleistein Ave
Cody, WY 824143806
Phone
3075872951
NPI
1013017136
Procedures
1
Total Claims
135
Patients Served
103
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 | $24.01 | 135 | 103 |
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