Based on public Medicaid payment data.
Adam Ross Bushell
Medicaid Provider in South Jordan, UT
Type
Individual Provider
Address
3473 W South Jordan Pkwy Ste 3
South Jordan, UT 840956016
Phone
8014462080
NPI
1598755472
Procedures
3
Total Claims
6K
Patients Served
5.6K
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 | $48.25 | 5,372 | 5,343 |
| Dental Filling | $76.38 | 574 | 281 |
| Tooth Extraction | $57.04 | 48 | 25 |
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