Based on public Medicaid payment data.
Jack Cameron Moss
Medicaid Provider in Arvada, CO
Type
Individual Provider
Address
7970 Sheridan Blvd
Arvada, CO 800036200
Phone
3034270730
NPI
1518077585
Procedures
3
Total Claims
3.6K
Patients Served
3.5K
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 | $33.21 | 3,477 | 3,448 |
| Dental Filling | $119.75 | 57 | 37 |
| Tooth Extraction | $85.81 | 40 | 13 |
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