Based on public Medicaid payment data.
Evan O Johnson
Medicaid Provider in Idaho Falls, ID
Type
Individual Provider
Address
1520 Elk Crk
Idaho Falls, ID 834048322
Phone
2085228854
NPI
1891756599
Procedures
1
Total Claims
190
Patients Served
190
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 | $21.63 | 190 | 190 |
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