Based on public Medicaid payment data.
Joshua Lewis
Medicaid Provider in Idaho Falls, ID
Type
Individual Provider
Address
675 S Woodruff Ave
Idaho Falls, ID 834015596
Phone
2085380104
NPI
1679098008
Procedures
3
Total Claims
786
Patients Served
647
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 | $13.48 | 429 | 429 |
| Dental Filling | $81.80 | 295 | 201 |
| Tooth Extraction | $44.66 | 62 | 17 |
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