Based on public Medicaid payment data.
Todd L Matheson
Medicaid Provider in Idaho Falls, ID
Type
Individual Provider
Address
3315 S Holmes Ave
Idaho Falls, ID 834047981
Phone
2085224491
NPI
1225325558
Procedures
2
Total Claims
165
Patients Served
128
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 | $33.65 | 104 | 103 |
| Dental Filling | $107.43 | 61 | 25 |
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