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Based on public Medicaid payment data.

Hans C Petersen

Medicaid Provider in West Valley City, UT

Type

Individual Provider

Address

3535 S Market St Ste 145

West Valley City, UT 841193637

Phone

8019698881

NPI

1255497079

Procedures

4

Total Claims

27.2K

Patients Served

21.8K

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 $58.41 17,700 17,550
Dental Filling $45.20 7,002 3,117
Tooth Extraction $23.81 1,422 749
Root Canal $12.14 1,124 377

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