Based on public Medicaid payment data.
Ashwini Shivashankarappa
Medicaid Provider in Louisville, CO
Type
Individual Provider
Address
877 E South Boulder Rd
Louisville, CO 800271345
Phone
7204765504
NPI
1083955512
Procedures
4
Total Claims
31.6K
Patients Served
27.9K
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 | $29.70 | 21,350 | 21,337 |
| Dental Filling | $106.66 | 9,051 | 5,772 |
| Tooth Extraction | $98.24 | 1,113 | 725 |
| Root Canal | $86.74 | 56 | 38 |
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