Based on public Medicaid payment data.
Erin Maille Montano
Medicaid Provider in Gallup, NM
Type
Individual Provider
Address
802 Us Highway 491
Gallup, NM 873015388
Phone
5058625018
NPI
1114281508
Procedures
3
Total Claims
83.8K
Patients Served
76.8K
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 | $29.04 | 71,141 | 68,426 |
| Dental Filling | $64.09 | 10,791 | 7,239 |
| Tooth Extraction | $64.68 | 1,862 | 1,180 |
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