Based on public Medicaid payment data.
Gavin Christopher Whitman
Medicaid Provider in La Salle, CO
Type
Individual Provider
Address
202 N 2Nd St
La Salle, CO 806453306
Phone
5095548244
NPI
1619461100
Procedures
4
Total Claims
7.9K
Patients Served
7.4K
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 | $36.78 | 6,890 | 6,787 |
| Dental Filling | $132.74 | 580 | 364 |
| Tooth Extraction | $153.55 | 336 | 213 |
| Dental Crown | $648.10 | 125 | 68 |
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