Based on public Medicaid payment data.
Jeffrey W Johnson
Medicaid Provider in Idaho Falls, ID
Type
Individual Provider
Address
333 S Woodruff Ave
Idaho Falls, ID 834014322
Phone
2085293500
NPI
1821130253
Procedures
1
Total Claims
30
Patients Served
30
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 | $19.75 | 30 | 30 |
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