Based on public Medicaid payment data.
Karishma Sitapara
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
2114 S Highland Dr
Salt Lake City, UT 841062807
Phone
8014672345
NPI
1083142467
Procedures
2
Total Claims
150
Patients Served
130
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 | $25.11 | 113 | 113 |
| Tooth Extraction | $50.27 | 37 | 17 |
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