Based on public Medicaid payment data.
Emerson G Godbolt
Medicaid Provider in Sandpoint, ID
Type
Individual Provider
Address
1310 Ponderosa Dr Ste A
Sandpoint, ID 838645073
Phone
2082637641
NPI
1902211725
Procedures
4
Total Claims
34.2K
Patients Served
17.3K
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 | $69.11 | 18,752 | 5,321 |
| Dental Cleaning & Exam | $20.06 | 10,803 | 9,619 |
| Dental Filling | $53.91 | 4,141 | 2,151 |
| Root Canal | $77.19 | 529 | 187 |
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