Based on public Medicaid payment data.
David Earl Wilson
Medicaid Provider in Idaho Falls, ID
Type
Individual Provider
Address
3335 S Holmes Ave
Idaho Falls, ID 834047981
Phone
2085243770
NPI
1124231261
Procedures
2
Total Claims
820
Patients Served
766
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 | $111.29 | 791 | 738 |
| Root Canal | $832.24 | 29 | 28 |
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