Based on public Medicaid payment data.
Matthew Jacobsen Pediatric Dentistry
Medicaid Provider in Riverton, UT
Type
Organization
Address
4019 W 12600 S Ste 200
Riverton, UT 840967406
Phone
8013027938
NPI
1902271539
Procedures
1
Total Claims
42
Patients Served
38
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 | $0.00 | 42 | 38 |
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