Based on public Medicaid payment data.
Brian Randle
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
1140 Brickyard Rd
Salt Lake City, UT 841062565
Phone
8014749552
NPI
1518053412
Procedures
1
Total Claims
698
Patients Served
697
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 | $77.54 | 698 | 697 |
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