Based on public Medicaid payment data.
Jacob Vaughn Liljenquist
Medicaid Provider in Pocatello, ID
Type
Individual Provider
Address
1000 N 8Th Ave
Pocatello, ID 832015757
Phone
2082323368
NPI
1508172107
Procedures
3
Total Claims
2.6K
Patients Served
2.5K
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 | $24.76 | 2,424 | 2,411 |
| Dental Filling | $51.55 | 125 | 72 |
| Root Canal | $0.00 | 12 | 12 |
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