Based on public Medicaid payment data.
Luis John Davila
Medicaid Provider in Ogden, UT
Type
Individual Provider
Address
2507 Madison Ave
Ogden, UT 844012500
Phone
8013949428
NPI
1740406842
Procedures
2
Total Claims
1.1K
Patients Served
838
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 | $123.46 | 648 | 621 |
| Tooth Extraction | $32.60 | 460 | 217 |
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