Based on public Medicaid payment data.
Stanton Cannon Allen
Medicaid Provider in Providence, UT
Type
Individual Provider
Address
65 N. Gateway Drive
Providence, UT 843326102
Phone
4357872223
NPI
1912963935
Procedures
3
Total Claims
7.8K
Patients Served
7.6K
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 | $55.54 | 7,595 | 7,557 |
| Dental Filling | $41.49 | 142 | 74 |
| Tooth Extraction | $68.16 | 21 | 14 |
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