Based on public Medicaid payment data.
Karissa Thometz
Medicaid Provider in Cottonwood Heights, UT
Type
Individual Provider
Address
6957 S 1300 E
Cottonwood Heights, UT 840471817
Phone
8017478015
NPI
1639868011
Procedures
2
Total Claims
1.6K
Patients Served
1.5K
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 | $37.65 | 1,364 | 1,364 |
| Dental Filling | $94.27 | 203 | 94 |
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