Based on public Medicaid payment data.
Kevin Bradley Johnson
Medicaid Provider in Sandpoint, ID
Type
Individual Provider
Address
1310 Ponderosa Dr
Sandpoint, ID 838645073
Phone
2082637641
NPI
1740615293
Procedures
3
Total Claims
1.2K
Patients Served
1.1K
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 | $27.52 | 1,041 | 1,039 |
| Dental Filling | $47.31 | 99 | 62 |
| Tooth Extraction | $29.93 | 56 | 12 |
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