Based on public Medicaid payment data.
Dean E Sandoval
Medicaid Provider in Canon City, CO
Type
Individual Provider
Address
1215 N 15Th St
Canon City, CO 812124620
Phone
7192755933
NPI
1255419479
Procedures
1
Total Claims
356
Patients Served
349
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 | $32.92 | 356 | 349 |
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