Based on public Medicaid payment data.
Jason Sholly
Medicaid Provider in Lacey, WA
Type
Individual Provider
Address
909 Sleater Kinney Rd Se Ste 3
Lacey, WA 985031103
Phone
3604911414
NPI
1144715293
Procedures
4
Total Claims
32.2K
Patients Served
27.9K
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 | $24.56 | 23,420 | 23,056 |
| Dental Filling | $61.06 | 6,419 | 3,484 |
| Tooth Extraction | $46.57 | 1,434 | 884 |
| Root Canal | $74.45 | 900 | 441 |
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