Based on public Medicaid payment data.
Clifford Sondrup
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
34 S 500 E Ste 202
Salt Lake City, UT 841021094
Phone
8016480503
NPI
1689242307
Procedures
2
Total Claims
274
Patients Served
255
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 | $90.87 | 228 | 228 |
| Dental Filling | $39.75 | 46 | 27 |
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