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Based on public Medicaid payment data.

Benjamin Escobedo

Medicaid Provider in Cheyenne, WY

Type

Individual Provider

Address

6015 Sycamore Rd

Cheyenne, WY 820094347

Phone

3076343672

NPI

1225699184

Procedures

1

Total Claims

16

Patients Served

15

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 $29.25 16 15

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