Based on public Medicaid payment data.
Nicholas Richard Withem
Medicaid Provider in Farmington, NM
Type
Individual Provider
Address
6588 E Main St
Farmington, NM 874025122
Phone
5053266800
NPI
1891102752
Procedures
3
Total Claims
4.8K
Patients Served
3.9K
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 | $30.37 | 3,419 | 3,235 |
| Dental Filling | $62.37 | 994 | 501 |
| Tooth Extraction | $100.56 | 388 | 166 |
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