Based on public Medicaid payment data.
Roger T Russell
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
1956 Berkeley St
Salt Lake City, UT 841083202
Phone
8014676290
NPI
1093909434
Procedures
1
Total Claims
29
Patients Served
25
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 | $21.69 | 29 | 25 |
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