Based on public Medicaid payment data.
David M Holecek
Medicaid Provider in Plummer, ID
Type
Individual Provider
Address
1115 B St
Plummer, ID 838510388
Phone
2086861931
NPI
1760471783
Procedures
4
Total Claims
9.6K
Patients Served
7.7K
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 | $35.35 | 6,901 | 6,599 |
| Dental Filling | $111.05 | 2,460 | 995 |
| Dental Crown | $545.89 | 171 | 123 |
| Tooth Extraction | $70.15 | 54 | 14 |
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