Based on public Medicaid payment data.
Lindsey Kalolena Kawahakui
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
2047 Columbia Dr
Pueblo, CO 810053279
Phone
7195660206
NPI
1821430414
Procedures
4
Total Claims
50.1K
Patients Served
47K
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 | $30.23 | 40,183 | 40,106 |
| Dental Filling | $123.00 | 7,911 | 5,676 |
| Tooth Extraction | $99.11 | 1,924 | 1,168 |
| Root Canal | $82.72 | 103 | 42 |
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