Based on public Medicaid payment data.
Carmen Lee Koepl
Medicaid Provider in Moscow, ID
Type
Individual Provider
Address
803 S Main St Ste 120
Moscow, ID 838432695
Phone
2088488300
NPI
1073095501
Procedures
1
Total Claims
216
Patients Served
174
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 | $24.53 | 216 | 174 |
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