Based on public Medicaid payment data.
Tony Leroy Peterson
Medicaid Provider in Colorado Springs, CO
Type
Individual Provider
Address
1050 S 8Th St
Colorado Springs, CO 809057307
Phone
7196338455
NPI
1053302075
Procedures
2
Total Claims
569
Patients Served
474
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 | $32.73 | 412 | 409 |
| Tooth Extraction | $213.55 | 157 | 65 |
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