Based on public Medicaid payment data.
Scott Coburn Larsen
Medicaid Provider in Jackson, WY
Type
Individual Provider
Address
245 E Broadway
Jackson, WY 83001
Phone
3077334778
NPI
1346343373
Procedures
1
Total Claims
40
Patients Served
40
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 | $33.30 | 40 | 40 |
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