Based on public Medicaid payment data.
Brett L Pack
Medicaid Provider in Moses Lake, WA
Type
Individual Provider
Address
605 S Coolidge St
Moses Lake, WA 988371893
Phone
5097650674
NPI
1861683112
Procedures
3
Total Claims
34.1K
Patients Served
29.3K
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 | $27.72 | 25,493 | 23,648 |
| Dental Filling | $69.90 | 6,082 | 4,280 |
| Tooth Extraction | $49.03 | 2,516 | 1,356 |
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