Based on public Medicaid payment data.
Pony Express Dental Llc
Medicaid Provider in Eagle Mountain, UT
Type
Organization
Address
1308 E. Eagle Mountain Blvd
Eagle Mountain, UT 84005
Phone
8018767669
NPI
1609315480
Procedures
1
Total Claims
58
Patients Served
56
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 | $25.52 | 58 | 56 |
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