Based on public Medicaid payment data.
Jacqueline Rae Blasko
Medicaid Provider in Denver, CO
Type
Individual Provider
Address
2725 S Colorado Blvd
Denver, CO 802226601
Phone
3037811810
NPI
1134223381
Procedures
4
Total Claims
1.2K
Patients Served
986
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 | $36.30 | 697 | 695 |
| Dental Filling | $146.78 | 408 | 234 |
| Tooth Extraction | $90.20 | 93 | 43 |
| Dental Crown | $849.16 | 25 | 14 |
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