Based on public Medicaid payment data.
Jerry Dale Carlson
Medicaid Provider in Spanish Fork, UT
Type
Individual Provider
Address
955 N Main St
Spanish Fork, UT 846601150
Phone
8017983557
NPI
1982651287
Procedures
1
Total Claims
40
Patients Served
39
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 | 40 | 39 |
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