Based on public Medicaid payment data.
Nathanael Bannon
Medicaid Provider in Colorado Springs, CO
Type
Individual Provider
Address
3208 N Academy Blvd Ste 140
Colorado Springs, CO 809175111
Phone
7193015300
NPI
1750757423
Procedures
4
Total Claims
13.2K
Patients Served
11.3K
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 | $36.19 | 8,900 | 8,850 |
| Dental Filling | $124.67 | 3,432 | 2,051 |
| Tooth Extraction | $94.94 | 562 | 241 |
| Dental Crown | $582.46 | 276 | 184 |
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