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Based on public Medicaid payment data.

William Caleb Gillum

Medicaid Provider in Edgewater, CO

Type

Individual Provider

Address

1921 Sheridan Blvd Unit F

Edgewater, CO 802141315

Phone

3302023550

NPI

1568071009

Procedures

3

Total Claims

982

Patients Served

767

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 $43.86 614 614
Dental Filling $137.42 350 141
Dental Crown $849.16 18 12

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