Based on public Medicaid payment data.
Jonathan Blair Gardner
Medicaid Provider in East Carbon, UT
Type
Individual Provider
Address
331 Highway 123
East Carbon, UT 845200930
Phone
4358884411
NPI
1013926872
Procedures
2
Total Claims
192
Patients Served
111
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 |
|---|---|---|---|
| Tooth Extraction | $88.70 | 115 | 38 |
| Dental Cleaning & Exam | $54.57 | 77 | 73 |
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