Based on public Medicaid payment data.
Hossein Borzou Ouranos
Medicaid Provider in Evergreen, CO
Type
Individual Provider
Address
1232 Bergen Pkwy
Evergreen, CO 80439
Phone
3036746070
NPI
1043625338
Procedures
4
Total Claims
7.5K
Patients Served
6.7K
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 | $40.62 | 5,815 | 5,782 |
| Dental Filling | $129.29 | 1,600 | 889 |
| Tooth Extraction | $118.13 | 70 | 36 |
| Dental Crown | $849.16 | 17 | 13 |
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