Based on public Medicaid payment data.
Justin Hansen
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
279 E 5900 S Ste 200
Salt Lake City, UT 841075424
Phone
8016713786
NPI
1194082206
Procedures
1
Total Claims
208
Patients Served
196
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 | $50.68 | 208 | 196 |
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