Based on public Medicaid payment data.
Jami Ballantine
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
55 N Redwood Rd
Salt Lake City, UT 841163121
Phone
8015192222
NPI
1558777151
Procedures
2
Total Claims
2.9K
Patients Served
2.7K
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 | $48.18 | 2,559 | 2,553 |
| Dental Filling | $33.67 | 309 | 177 |
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