Based on public Medicaid payment data.
Main Street Dental Of Salt Lake City
Medicaid Provider in Salt Lake City, UT
Type
Organization
Address
3195 S Main St Ste 201
Salt Lake City, UT 841153749
Phone
8017926033
NPI
1245607068
Procedures
2
Total Claims
173
Patients Served
105
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 |
|---|---|---|---|
| Tooth Extraction | $88.43 | 106 | 41 |
| Dental Cleaning & Exam | $29.68 | 67 | 64 |
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