Based on public Medicaid payment data.
Eric Boucher
Medicaid Provider in Louisville, CO
Type
Individual Provider
Address
339 Mccaslin Blvd Ste B
Louisville, CO 800272914
Phone
3036730500
NPI
1235579269
Procedures
4
Total Claims
6.8K
Patients Served
5.5K
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 | $35.29 | 4,472 | 4,360 |
| Tooth Extraction | $97.32 | 1,455 | 602 |
| Dental Filling | $140.30 | 725 | 430 |
| Dental Crown | $548.99 | 117 | 79 |
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