Based on public Medicaid payment data.
Edward E Evans
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
830 W Abriendo Ave Ste B
Pueblo, CO 810041562
Phone
7195431132
NPI
1275909863
Procedures
4
Total Claims
3K
Patients Served
2.5K
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 | $34.95 | 2,003 | 1,992 |
| Dental Filling | $130.64 | 634 | 350 |
| Tooth Extraction | $92.04 | 356 | 98 |
| Dental Crown | $849.16 | 18 | 15 |
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