Based on public Medicaid payment data.
Jeri Lynn Bullock
Medicaid Provider in Midvale, UT
Type
Individual Provider
Address
1144 E Fort Union Blvd
Midvale, UT 840471804
Phone
8015663118
NPI
1396030003
Procedures
1
Total Claims
43
Patients Served
43
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 | $9.85 | 43 | 43 |
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