Based on public Medicaid payment data.
Grant Matthew Wiswell
Medicaid Provider in Missoula, MT
Type
Individual Provider
Address
3020 S Reserve St Ste C
Missoula, MT 598017652
Phone
4065412180
NPI
1497917132
Procedures
1
Total Claims
25.2K
Patients Served
10.2K
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 |
|---|---|---|---|
| Tooth Extraction | $172.33 | 25,232 | 10,226 |
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