Based on public Medicaid payment data.
Alyssa Gruba
Medicaid Provider in Fort Collins, CO
Type
Individual Provider
Address
202 Bristlecone Dr
Fort Collins, CO 805242031
Phone
9704165331
NPI
1306463955
Procedures
3
Total Claims
3.3K
Patients Served
3.2K
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 | $3.25 | 3,188 | 3,127 |
| Dental Filling | $26.59 | 91 | 74 |
| Tooth Extraction | $0.01 | 51 | 37 |
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