Based on public Medicaid payment data.
Stacy Elmo Robinson
Medicaid Provider in Mtn Home, ID
Type
Individual Provider
Address
925 W 6Th S
Mtn Home, ID 836473300
Phone
2085872222
NPI
1528180254
Procedures
1
Total Claims
90
Patients Served
89
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 | $26.38 | 90 | 89 |
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