Based on public Medicaid payment data.
Brandon Lee Moore
Medicaid Provider in Lakewood, CO
Type
Individual Provider
Address
2323 S Wadsworth Blvd Ste 1778
Lakewood, CO 802273274
Phone
3033558670
NPI
1275176513
Procedures
2
Total Claims
151
Patients Served
143
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 | $38.93 | 131 | 131 |
| Dental Crown | $792.97 | 20 | 12 |
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