Based on public Medicaid payment data.
Luke R. Petersen
Medicaid Provider in West Jordan, UT
Type
Individual Provider
Address
3078 W 7800 S
West Jordan, UT 840883707
Phone
8012801911
NPI
1336450816
Procedures
4
Total Claims
13.8K
Patients Served
11.4K
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 | $34.47 | 10,070 | 9,461 |
| Dental Filling | $96.57 | 3,456 | 1,809 |
| Tooth Extraction | $56.81 | 265 | 153 |
| Root Canal | $66.63 | 14 | 12 |
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