Based on public Medicaid payment data.
Kendra Jean Desiree Hackman
Medicaid Provider in Missoula, MT
Type
Individual Provider
Address
2901 Brooks St
Missoula, MT 598017703
Phone
4065412886
NPI
1245800333
Procedures
4
Total Claims
12.2K
Patients Served
9.2K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $27.26 | 7,501 | 6,831 |
| Dental Filling | $65.21 | 3,121 | 1,582 |
| Tooth Extraction | $86.80 | 1,483 | 707 |
| Dental Crown | $628.07 | 61 | 55 |
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