Based on public Medicaid payment data.
David J Wilcox
Medicaid Provider in Missoula, MT
Type
Individual Provider
Address
1920 S Russell St
Missoula, MT 598016624
Phone
4067286068
NPI
1760766729
Procedures
1
Total Claims
327
Patients Served
295
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 | $34.27 | 327 | 295 |
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