Based on public Medicaid payment data.
Louis Keith Jessop
Medicaid Provider in Sandy, UT
Type
Individual Provider
Address
9829 S 1300 E
Sandy, UT 840944000
Phone
8015692600
NPI
1518341395
Procedures
2
Total Claims
1.8K
Patients Served
1.8K
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 | $24.75 | 1,685 | 1,673 |
| Dental Filling | $41.23 | 164 | 99 |
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