Based on public Medicaid payment data.
Nathan C. Holt
Medicaid Provider in Draper, UT
Type
Individual Provider
Address
219 E 12300 S
Draper, UT 840206970
Phone
8014954440
NPI
1437384500
Procedures
4
Total Claims
3.9K
Patients Served
3.2K
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 | $35.40 | 2,781 | 2,556 |
| Dental Crown | $585.02 | 486 | 370 |
| Dental Filling | $111.65 | 377 | 210 |
| Tooth Extraction | $102.84 | 248 | 66 |
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