Based on public Medicaid payment data.
Tyler James Hicks
Medicaid Provider in Sandy, UT
Type
Individual Provider
Address
9008 S Schofield Cir
Sandy, UT 840935801
Phone
8013866377
NPI
1114301603
Procedures
2
Total Claims
689
Patients Served
646
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 | $13.01 | 644 | 634 |
| Tooth Extraction | $16.33 | 45 | 12 |
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