Based on public Medicaid payment data.
Mary Ruth Cacho-Mohr
Medicaid Provider in Fort Carson, CO
Type
Individual Provider
Address
1631 Wetzel Ave Bldg 815
Fort Carson, CO 809134095
Phone
7195265537
NPI
1124455829
Procedures
2
Total Claims
232
Patients Served
180
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 | $33.33 | 165 | 162 |
| Dental Filling | $101.40 | 67 | 18 |
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