Based on public Medicaid payment data.
Debbie Roubal
Medicaid Provider in Boulder, CO
Type
Individual Provider
Address
4155 Darley Ave Ste C
Boulder, CO 803056536
Phone
3034997072
NPI
1760566533
Procedures
2
Total Claims
398
Patients Served
390
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 | $32.67 | 381 | 378 |
| Dental Filling | $136.13 | 17 | 12 |
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