Based on public Medicaid payment data.
Hans Dalan Smith
Medicaid Provider in Tooele, UT
Type
Individual Provider
Address
88 E 700 N
Tooele, UT 840741817
Phone
4358430225
NPI
1861521973
Procedures
1
Total Claims
108
Patients Served
107
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 | $22.50 | 108 | 107 |
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