Based on public Medicaid payment data.
Justin Ray Nelson
Medicaid Provider in Sandpoint, ID
Type
Individual Provider
Address
103 W Superior St
Sandpoint, ID 838641601
Phone
2082638514
NPI
1588230403
Procedures
3
Total Claims
5.3K
Patients Served
4.8K
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 | $37.18 | 3,697 | 3,593 |
| Dental Filling | $82.77 | 1,001 | 860 |
| Tooth Extraction | $58.80 | 606 | 389 |
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