Based on public Medicaid payment data.
Modern Dental Professionals Ut, Pc
Medicaid Provider in South Ogden, UT
Type
Organization
Address
5974 S. Fashion Pointe Drive
South Ogden, UT 84403
Phone
8014756121
NPI
1265889166
Procedures
2
Total Claims
206
Patients Served
180
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 | $93.67 | 168 | 168 |
| Tooth Extraction | $98.90 | 38 | 12 |
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