Based on public Medicaid payment data.
Ty Peterson
Medicaid Provider in Gooding, ID
Type
Individual Provider
Address
325 Main St
Gooding, ID 833301302
Phone
2089348080
NPI
1689234437
Procedures
3
Total Claims
7K
Patients Served
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 | $20.49 | 3,538 | 3,527 |
| Dental Filling | $46.59 | 2,300 | 1,008 |
| Tooth Extraction | $103.89 | 1,184 | 428 |
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