Based on public Medicaid payment data.
Mary Ann Johnson
Medicaid Provider in Kiowa, CO
Type
Individual Provider
Address
320 Comanche St.
Kiowa, CO 80117
Phone
7203899763
NPI
1003286055
Procedures
3
Total Claims
2.1K
Patients Served
1.9K
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 | $16.82 | 1,853 | 1,729 |
| Dental Filling | $31.10 | 266 | 163 |
| Tooth Extraction | $0.00 | 28 | 13 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error