Based on public Medicaid payment data.
Levi Cody Maltby
Medicaid Provider in Great Falls, MT
Type
Individual Provider
Address
3920 3Rd Ave S
Great Falls, MT 594053614
Phone
4064525361
NPI
1518110360
Procedures
4
Total Claims
38.1K
Patients Served
29.4K
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 | $33.74 | 20,415 | 19,154 |
| Dental Filling | $130.44 | 15,597 | 8,988 |
| Tooth Extraction | $86.86 | 1,226 | 499 |
| Dental Crown | $580.49 | 867 | 736 |
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