Based on public Medicaid payment data.
Melissa Tini Ngo Logan
Medicaid Provider in Lakewood, CO
Type
Individual Provider
Address
7650 W Virginia Ave Unit A
Lakewood, CO 802263131
Phone
5612545404
NPI
1124344288
Procedures
6
Total Claims
20.4K
Patients Served
8.8K
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 |
|---|---|---|---|
| Root Canal | $98.21 | 8,250 | 2,374 |
| Tooth Extraction | $56.57 | 4,202 | 1,326 |
| Dental Filling | $66.29 | 3,073 | 1,585 |
| Office Visit | $42.74 | 2,546 | 1,218 |
| Dental Cleaning & Exam | $55.23 | 2,201 | 2,180 |
| Anesthesia Services | $325.00 | 105 | 105 |
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