Based on public Medicaid payment data.
Jennifer Mary Pantelakis
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
2511 S 800 E
Salt Lake City, UT 841061728
Phone
8014861963
NPI
1467805135
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Office Visit | $69.81 | 12 | 12 |
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