Based on public Medicaid payment data.
Naomi B Jacobs
Medicaid Provider in Fort Collins, CO
Type
Individual Provider
Address
1927 Wilmington Dr
Fort Collins, CO 805286299
Phone
9704844850
NPI
1831261817
Procedures
3
Total Claims
25K
Patients Served
18.1K
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 | $29.50 | 13,873 | 13,001 |
| Dental Filling | $89.70 | 11,021 | 5,052 |
| Tooth Extraction | $62.89 | 87 | 67 |
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