Based on public Medicaid payment data.
Jenni K Polivka
Medicaid Provider in Denver, CO
Type
Individual Provider
Address
1701 W 72Nd Ave
Denver, CO 802212721
Phone
3036504460
NPI
1831674274
Procedures
1
Total Claims
26
Patients Served
26
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 | $28.00 | 26 | 26 |
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