Based on public Medicaid payment data.
Confederated Tribes Of The Goshute Reservation
Medicaid Provider in Salt Lake City, UT
Type
Organization
Address
660 S 200 E Ste 250
Salt Lake City, UT 841113846
Phone
8013592256
NPI
1174969125
Procedures
3
Total Claims
5.6K
Patients Served
4.9K
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 | $421.11 | 3,953 | 3,843 |
| Dental Filling | $426.80 | 881 | 609 |
| Tooth Extraction | $377.66 | 774 | 442 |
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