Based on public Medicaid payment data.
Mario Montanez
Medicaid Provider in Colorado Springs, CO
Type
Individual Provider
Address
2436 S Academy Blvd
Colorado Springs, CO 809162408
Phone
7193912336
NPI
1295767382
Procedures
4
Total Claims
21.1K
Patients Served
18.1K
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 | $19.61 | 15,964 | 15,601 |
| Dental Filling | $63.25 | 3,562 | 1,964 |
| Root Canal | $76.68 | 1,189 | 327 |
| Tooth Extraction | $73.12 | 344 | 173 |
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