Based on public Medicaid payment data.
Jarom Thomas Paice
Medicaid Provider in Lafayette, CO
Type
Individual Provider
Address
535 W South Boulder Rd
Lafayette, CO 800262097
Phone
3036042804
NPI
1568776268
Procedures
4
Total Claims
6.5K
Patients Served
5.4K
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 | $35.82 | 4,356 | 4,263 |
| Dental Filling | $133.92 | 1,712 | 928 |
| Dental Crown | $563.40 | 390 | 196 |
| Tooth Extraction | $101.63 | 18 | 14 |
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