Based on public Medicaid payment data.
Shaun Logan
Medicaid Provider in Ranchester, WY
Type
Individual Provider
Address
621 Dayton Street
Ranchester, WY 82839
Phone
3076559810
NPI
1144603812
Procedures
1
Total Claims
14
Patients Served
14
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 | $21.43 | 14 | 14 |
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