Based on public Medicaid payment data.
John William Loberg
Medicaid Provider in Missoula, MT
Type
Individual Provider
Address
1009 S Reserve St
Missoula, MT 598013140
Phone
4065492395
NPI
1235487851
Procedures
4
Total Claims
38.6K
Patients Served
35.9K
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 | $31.37 | 35,396 | 34,188 |
| Dental Filling | $90.97 | 1,887 | 1,052 |
| Tooth Extraction | $63.59 | 1,227 | 593 |
| Root Canal | $77.08 | 93 | 43 |
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