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Based on public Medicaid payment data.

Shannon Dobelbower Roberts

Medicaid Provider in Peterson Afb, CO

Type

Individual Provider

Address

559 Vincent St Bldg 959

Peterson Afb, CO 809141541

Phone

7195561333

NPI

1740535814

Procedures

1

Total Claims

33

Patients Served

33

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 $26.79 33 33

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