Based on public Medicaid payment data.
Gary N Moore
Medicaid Provider in Colorado Springs, CO
Type
Individual Provider
Address
3695 Star Ranch Rd
Colorado Springs, CO 809065980
Phone
7195977979
NPI
1376522979
Procedures
4
Total Claims
8.3K
Patients Served
5K
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 | $37.03 | 3,989 | 3,933 |
| Tooth Extraction | $95.32 | 3,760 | 804 |
| Dental Crown | $685.74 | 450 | 200 |
| Dental Filling | $142.03 | 66 | 42 |
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