Based on public Medicaid payment data.
Richard Shinichiro Carlile
Medicaid Provider in Manti, UT
Type
Individual Provider
Address
93 S Main St
Manti, UT 846421350
Phone
4358354881
NPI
1053690644
Procedures
2
Total Claims
137
Patients Served
118
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 | $33.98 | 105 | 105 |
| Dental Filling | $89.95 | 32 | 13 |
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