Based on public Medicaid payment data.
Marilyn Vigil Ketcham
Medicaid Provider in Denver, CO
Type
Individual Provider
Address
3800 York St
Denver, CO 802053540
Phone
3032964873
NPI
1881790509
Procedures
2
Total Claims
874
Patients Served
597
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 | $55.95 | 784 | 585 |
| Tooth Extraction | $173.00 | 90 | 12 |
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