Based on public Medicaid payment data.
Alma Martinez
Medicaid Provider in Middleton, ID
Type
Individual Provider
Address
201 S Paradise Ave
Middleton, ID 836445809
Phone
2085850048
NPI
1023390523
Procedures
3
Total Claims
710
Patients Served
694
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 | $0.00 | 656 | 652 |
| Dental Filling | $127.46 | 32 | 28 |
| Tooth Extraction | $87.02 | 22 | 14 |
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