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Based on public Medicaid payment data.

Ashley Phan

Medicaid Provider in South Jordan, UT

Type

Individual Provider

Address

11649 S 4000 W Ste 200

South Jordan, UT 840096048

Phone

8012533080

NPI

1700469236

Procedures

1

Total Claims

13

Patients Served

13

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
Eye Exam $0.00 13 13

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