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Based on public Medicaid payment data.

Lewis Clark Wilde

Medicaid Provider in Gallup, NM

Type

Individual Provider

Address

1601 S Second St

Gallup, NM 873015816

Phone

5057224422

NPI

1922673599

Procedures

3

Total Claims

21.6K

Patients Served

19.5K

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 $35.02 15,755 15,434
Dental Filling $70.85 4,942 3,575
Tooth Extraction $74.15 936 533

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