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Based on public Medicaid payment data.

Chisholm Family Dentistry Inc

Medicaid Provider in Monroe, UT

Type

Organization

Address

30 S Main St

Monroe, UT 84754

Phone

4355273555

NPI

1255499083

Procedures

2

Total Claims

843

Patients Served

656

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 $85.57 429 428
Dental Filling $62.17 414 228

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