Based on public Medicaid payment data.
Travis Boyer
Medicaid Provider in Pocatello, ID
Type
Individual Provider
Address
716 Yellowstone Ave
Pocatello, ID 832014407
Phone
2084785437
NPI
1992715304
Procedures
4
Total Claims
18.1K
Patients Served
16.9K
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 | $31.35 | 15,992 | 15,596 |
| Dental Filling | $118.74 | 1,567 | 983 |
| Tooth Extraction | $96.17 | 371 | 210 |
| Dental Crown | $569.48 | 171 | 113 |
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