Based on public Medicaid payment data.
Siona Motufau
Medicaid Provider in Clifton, CO
Type
Individual Provider
Address
3222 Highway 6 And 24
Clifton, CO 81520
Phone
9709857200
NPI
1114331824
Procedures
2
Total Claims
142
Patients Served
53
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 |
|---|---|---|---|
| Tooth Extraction | $92.38 | 115 | 26 |
| Dental Cleaning & Exam | $39.23 | 27 | 27 |
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