Based on public Medicaid payment data.
Lcr Dental Rose Park Llc
Medicaid Provider in Salt Lake City, UT
Type
Organization
Address
1409 W 1000 N
Salt Lake City, UT 841161605
Phone
8015321402
NPI
1558759514
Procedures
2
Total Claims
3.1K
Patients Served
3.1K
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 | $42.90 | 3,048 | 3,035 |
| Dental Filling | $34.45 | 75 | 39 |
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