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Based on public Medicaid payment data.

Kim James Michelson

Medicaid Provider in Salt Lake City, UT

Type

Individual Provider

Address

1480 N 8000 W

Salt Lake City, UT 841163961

Phone

8015227135

NPI

1568483717

Procedures

1

Total Claims

28

Patients Served

28

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 $18.79 28 28

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