Based on public Medicaid payment data.
Richard Frederick John Holtzen
Medicaid Provider in Missoula, MT
Type
Individual Provider
Address
805 S Reserve St
Missoula, MT 598012104
Phone
4063816845
NPI
1588608616
Procedures
2
Total Claims
10.7K
Patients Served
2.7K
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 | $114.09 | 10,658 | 2,635 |
| Dental Cleaning & Exam | $37.73 | 69 | 69 |
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