Based on public Medicaid payment data.
Brett Lopez
Medicaid Provider in Louisville, CO
Type
Individual Provider
Address
1760 Centennial Dr
Louisville, CO 800271302
Phone
3036657505
NPI
1255588992
Procedures
4
Total Claims
3.1K
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 | $54.27 | 2,177 | 1,829 |
| Dental Filling | $128.48 | 460 | 179 |
| Dental Crown | $305.50 | 251 | 114 |
| Tooth Extraction | $110.10 | 218 | 47 |
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