Based on public Medicaid payment data.
Southridge Pediatric Dentistry
Medicaid Provider in South Jordan, UT
Type
Organization
Address
2651 W. 10400 S. #103
South Jordan, UT 84095
Phone
8014451515
NPI
1225249683
Procedures
2
Total Claims
981
Patients Served
907
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 | $63.72 | 834 | 834 |
| Dental Filling | $64.67 | 147 | 73 |
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