Based on public Medicaid payment data.
South Ogden Pediatric Dental P.C.
Medicaid Provider in Washington Terrace, UT
Type
Organization
Address
5275 S. Adams Ave.,
Washington Terrace, UT 84405
Phone
8014756433
NPI
1104834191
Procedures
1
Total Claims
703
Patients Served
690
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 | $32.50 | 703 | 690 |
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