Based on public Medicaid payment data.
Peggy Ann Derloshon
Medicaid Provider in Fort Collins, CO
Type
Individual Provider
Address
120 Bristlecone Dr
Fort Collins, CO 805242031
Phone
9702245209
NPI
1336316579
Procedures
2
Total Claims
677
Patients Served
672
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 | $32.66 | 663 | 660 |
| Dental Filling | $108.41 | 14 | 12 |
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