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Based on public Medicaid payment data.

Nathan Ren Lester

Medicaid Provider in Evanston, WY

Type

Individual Provider

Address

50 Park Rd

Evanston, WY 829302613

Phone

3077895608

NPI

1558432120

Procedures

3

Total Claims

2.6K

Patients Served

2.3K

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 $32.25 2,070 2,051
Dental Filling $86.06 482 213
Tooth Extraction $62.13 21 12

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