Based on public Medicaid payment data.
Jason Andres Gonzalez
Medicaid Provider in Cheyenne, WY
Type
Individual Provider
Address
1439 Stillwater Ave
Cheyenne, WY 820097367
Phone
3077787100
NPI
1922448687
Procedures
4
Total Claims
68.2K
Patients Served
62.7K
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 | $27.96 | 54,779 | 54,613 |
| Dental Filling | $61.90 | 6,139 | 4,304 |
| Tooth Extraction | $64.39 | 4,388 | 2,375 |
| Root Canal | $79.28 | 2,860 | 1,448 |
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