Based on public Medicaid payment data.
Adam J Lowe
Medicaid Provider in Idaho Falls, ID
Type
Individual Provider
Address
200 N Woodruff Ave
Idaho Falls, ID 834014334
Phone
2085290120
NPI
1609552371
Procedures
3
Total Claims
1K
Patients Served
715
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 Filling | $54.59 | 528 | 220 |
| Dental Cleaning & Exam | $28.59 | 473 | 467 |
| Tooth Extraction | $112.65 | 42 | 28 |
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