Based on public Medicaid payment data.
Damian Raleigh Smith
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
1345 S Pueblo Blvd
Pueblo, CO 810051508
Phone
7197223584
NPI
1740666007
Procedures
4
Total Claims
26.8K
Patients Served
23.6K
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 | $35.10 | 19,348 | 19,158 |
| Dental Filling | $87.55 | 4,456 | 3,063 |
| Tooth Extraction | $79.11 | 2,887 | 1,320 |
| Dental Crown | $445.36 | 115 | 86 |
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