Based on public Medicaid payment data.
Keith Allen Van Tassell
Medicaid Provider in Fort Collins, CO
Type
Individual Provider
Address
2001 S Shields St Bldg A
Fort Collins, CO 805261827
Phone
9704844104
NPI
1366585408
Procedures
4
Total Claims
16.9K
Patients Served
15.5K
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 | $32.43 | 14,389 | 14,250 |
| Dental Filling | $110.02 | 1,833 | 850 |
| Tooth Extraction | $88.73 | 509 | 293 |
| Root Canal | $83.39 | 184 | 92 |
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