Based on public Medicaid payment data.
Michael Grant Jacobs
Medicaid Provider in Highlands Ranch, CO
Type
Individual Provider
Address
129 W County Line Rd
Highlands Ranch, CO 801291931
Phone
3037389499
NPI
1568743755
Procedures
4
Total Claims
7.6K
Patients Served
6.6K
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 | $36.24 | 5,751 | 5,676 |
| Dental Filling | $139.84 | 1,233 | 550 |
| Dental Crown | $650.00 | 576 | 325 |
| Tooth Extraction | $158.42 | 32 | 24 |
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