Based on public Medicaid payment data.
Jared Dean Evans
Medicaid Provider in Liberty Lake, WA
Type
Individual Provider
Address
1327 N Stanford Ln
Liberty Lake, WA 990195034
Phone
5098917070
NPI
1306927892
Procedures
4
Total Claims
38.3K
Patients Served
34.6K
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 | $24.76 | 31,776 | 31,269 |
| Dental Filling | $53.03 | 4,749 | 2,476 |
| Tooth Extraction | $45.74 | 1,634 | 749 |
| Root Canal | $70.72 | 175 | 82 |
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