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Based on public Medicaid payment data.

Ellen J Son

Medicaid Provider in Delta, CO

Type

Individual Provider

Address

1250 Valley View Dr

Delta, CO 814163138

Phone

9708748981

NPI

1225217714

Procedures

3

Total Claims

3.5K

Patients Served

3.4K

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 $29.21 3,322 3,311
Dental Filling $117.42 127 79
Tooth Extraction $102.72 24 13

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