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Based on public Medicaid payment data.

Kyle Xavier Koch

Medicaid Provider in Greeley, CO

Type

Individual Provider

Address

3485 W 10Th St

Greeley, CO 806345367

Phone

9708153910

NPI

1881449825

Procedures

3

Total Claims

5.1K

Patients Served

4.8K

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 $58.26 4,196 4,194
Dental Filling $118.38 815 566
Tooth Extraction $65.43 96 70

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