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Based on public Medicaid payment data.

Cristina Martha Conceicao Smith

Medicaid Provider in Boulder, CO

Type

Individual Provider

Address

3216 Arapahoe Ave

Boulder, CO 803031043

Phone

3034425000

NPI

1538752613

Procedures

4

Total Claims

3.6K

Patients Served

3.1K

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 $43.33 2,559 2,531
Dental Filling $140.98 817 447
Dental Crown $700.31 197 91
Tooth Extraction $106.71 50 28

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