Based on public Medicaid payment data.
Brett Michael Packham
Medicaid Provider in Slc, UT
Type
Individual Provider
Address
100 N Medical Dr
Slc, UT 841131103
Phone
8016623900
NPI
1477728269
Procedures
3
Total Claims
11.6K
Patients Served
10.7K
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 | $10.99 | 9,953 | 9,887 |
| Dental Filling | $63.26 | 1,440 | 667 |
| Tooth Extraction | $97.52 | 210 | 106 |
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