Based on public Medicaid payment data.
Monica Marie Montoya
Medicaid Provider in Longmont, CO
Type
Individual Provider
Address
1739 Main St
Longmont, CO 805012035
Phone
3038346400
NPI
1700372885
Procedures
4
Total Claims
37.6K
Patients Served
35.7K
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 | $32.75 | 32,601 | 32,300 |
| Dental Filling | $110.64 | 4,445 | 3,036 |
| Tooth Extraction | $82.38 | 561 | 353 |
| Root Canal | $83.46 | 18 | 14 |
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