Based on public Medicaid payment data.
Kellan Clark
Medicaid Provider in West Valley City, UT
Type
Individual Provider
Address
2792 S 5600 W
West Valley City, UT 841205590
Phone
8012049889
NPI
1366050296
Procedures
3
Total Claims
1.3K
Patients Served
1.3K
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 | $63.03 | 1,172 | 1,158 |
| Dental Filling | $56.62 | 142 | 79 |
| Tooth Extraction | $46.14 | 33 | 13 |
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