Based on public Medicaid payment data.
Kevin A Miltko
Medicaid Provider in Missoula, MT
Type
Individual Provider
Address
1550 South Avenue West
Missoula, MT 59801
Phone
4067211550
NPI
1184706574
Procedures
4
Total Claims
13.1K
Patients Served
11.6K
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 | $37.75 | 10,571 | 10,126 |
| Dental Filling | $105.33 | 2,498 | 1,465 |
| Tooth Extraction | $59.87 | 26 | 12 |
| Dental Crown | $709.60 | 13 | 13 |
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