Based on public Medicaid payment data.
Gary N. Hickenlooper
Medicaid Provider in Colorado Springs, CO
Type
Individual Provider
Address
3755 Briargate Blvd
Colorado Springs, CO 809204195
Phone
7196322952
NPI
1649357666
Procedures
2
Total Claims
3.1K
Patients Served
3K
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 | $32.46 | 2,990 | 2,975 |
| Dental Filling | $140.32 | 100 | 65 |
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