Based on public Medicaid payment data.
Evan Pivetz
Medicaid Provider in Greeley, CO
Type
Individual Provider
Address
3400 W 16Th St Ste 8E
Greeley, CO 806346862
Phone
9703525448
NPI
1689249567
Procedures
4
Total Claims
1.5K
Patients Served
1.2K
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 | $35.78 | 955 | 940 |
| Dental Filling | $125.87 | 430 | 213 |
| Tooth Extraction | $149.64 | 116 | 60 |
| Dental Crown | $426.85 | 16 | 14 |
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