Based on public Medicaid payment data.
Matthew N Maxfield
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
6710 S Blackstone Rd
Salt Lake City, UT 841216232
Phone
8019438703
NPI
1851528244
Procedures
2
Total Claims
80
Patients Served
45
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 | $197.30 | 47 | 13 |
| Dental Cleaning & Exam | $254.73 | 33 | 32 |
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