Based on public Medicaid payment data.
Mark Montano
Medicaid Provider in Fountain, CO
Type
Individual Provider
Address
6436 S Us Highway 85-87
Fountain, CO 808171005
Phone
7193925111
NPI
1477987279
Procedures
3
Total Claims
27.8K
Patients Served
23.4K
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 | $32.19 | 19,281 | 19,032 |
| Dental Filling | $122.06 | 7,592 | 3,867 |
| Tooth Extraction | $99.85 | 946 | 503 |
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