Based on public Medicaid payment data.
Lyle Kris Munk
Medicaid Provider in Idaho Falls, ID
Type
Individual Provider
Address
2588 Channing Way
Idaho Falls, ID 83404
Phone
2085243200
NPI
1417034190
Procedures
2
Total Claims
400
Patients Served
161
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 |
|---|---|---|---|
| Tooth Extraction | $31.92 | 383 | 148 |
| Dental Cleaning & Exam | $23.46 | 17 | 13 |
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