Based on public Medicaid payment data.
Carlos R. Dominguez
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
15 N Medical Dr Ste 1100
Salt Lake City, UT 841121100
Phone
8015874563
NPI
1447771019
Procedures
1
Total Claims
380
Patients Served
358
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 |
|---|---|---|---|
| Pathology & Lab Services | $60.12 | 380 | 358 |
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