Based on public Medicaid payment data.
Marina Loustalet
Medicaid Provider in Centennial, CO
Type
Individual Provider
Address
15250 E Orchard Rd
Centennial, CO 800163003
Phone
3036809990
NPI
1235585142
Procedures
2
Total Claims
3K
Patients Served
2.9K
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 | $31.69 | 2,869 | 2,824 |
| Dental Filling | $137.80 | 162 | 80 |
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