Based on public Medicaid payment data.
Connor George Elmitt
Medicaid Provider in Johnston, IA
Type
Individual Provider
Address
5495 Nw 100Th St
Johnston, IA 501314808
Phone
5153311600
NPI
1942615232
Procedures
3
Total Claims
3.4K
Patients Served
3.3K
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 | $23.57 | 3,108 | 3,050 |
| Dental Filling | $55.78 | 281 | 220 |
| Tooth Extraction | $49.75 | 26 | 14 |
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