Based on public Medicaid payment data.
Jody Ann Davis
Medicaid Provider in Longmont, CO
Type
Individual Provider
Address
220 E Rogers Rd
Longmont, CO 805016027
Phone
3037763250
NPI
1790927366
Procedures
3
Total Claims
2.3K
Patients Served
2.2K
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 | $32.42 | 2,079 | 2,043 |
| Tooth Extraction | $56.22 | 173 | 89 |
| Dental Filling | $111.53 | 89 | 67 |
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