Based on public Medicaid payment data.
Out Of This World Dentistry Wj Pc
Medicaid Provider in West Jordan, UT
Type
Organization
Address
6787 S Redwood Rd
West Jordan, UT 840842404
Phone
8015427009
NPI
1336548841
Procedures
3
Total Claims
10.2K
Patients Served
9.1K
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 | $45.50 | 8,101 | 8,033 |
| Dental Filling | $73.83 | 2,031 | 986 |
| Tooth Extraction | $56.83 | 79 | 38 |
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