Based on public Medicaid payment data.
Trevor Miles Dubock
Medicaid Provider in Salt Lake City, UT
Type
Individual Provider
Address
4460 S Highland Dr Ste 210
Salt Lake City, UT 841243550
Phone
8889494864
NPI
1033654256
Procedures
2
Total Claims
798
Patients Served
391
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 |
|---|---|---|---|
| Non-Emergency Medical Transportation | $0.00 | 546 | 247 |
| Psychiatric Evaluation | $149.89 | 252 | 144 |
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