Based on public Medicaid payment data.
Jonathan W. Gantz
Medicaid Provider in Walla Walla, WA
Type
Individual Provider
Address
2014 S Howard St
Walla Walla, WA 993624532
Phone
5095254833
NPI
1386872141
Procedures
4
Total Claims
59.9K
Patients Served
32.7K
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 Filling | $83.44 | 29,829 | 9,933 |
| Dental Cleaning & Exam | $28.75 | 24,765 | 21,115 |
| Tooth Extraction | $81.67 | 5,174 | 1,564 |
| Root Canal | $52.56 | 135 | 104 |
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