Based on public Medicaid payment data.
Theodore English Moore
Medicaid Provider in Lone Tree, CO
Type
Individual Provider
Address
9896 Rosemont Ave
Lone Tree, CO 80124
Phone
3037993994
NPI
1497756027
Procedures
1
Total Claims
269
Patients Served
266
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 | $71.19 | 269 | 266 |
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