Based on public Medicaid payment data.
Elmer Alex Villalon
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
1225 N Main St
Pueblo, CO 810032857
Phone
7195427844
NPI
1033232590
Procedures
4
Total Claims
3.4K
Patients Served
3.3K
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 | $36.34 | 3,253 | 3,186 |
| Tooth Extraction | $97.00 | 61 | 37 |
| Root Canal | $468.73 | 27 | 26 |
| Dental Crown | $506.45 | 25 | 24 |
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