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Based on public Medicaid payment data.

Dominic S Italia

Medicaid Provider in Broomfield, CO

Type

Individual Provider

Address

899 Us Highway 287 Ste 600

Broomfield, CO 800207319

Phone

3034609366

NPI

1184318776

Procedures

1

Total Claims

13

Patients Served

13

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 $43.23 13 13

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