Based on public Medicaid payment data.
Olga Jasina
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
1640 Fortino Blvd
Pueblo, CO 810081856
Phone
2146800443
NPI
1710323209
Procedures
4
Total Claims
43.2K
Patients Served
38.8K
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 | $32.51 | 34,844 | 34,487 |
| Tooth Extraction | $98.69 | 4,477 | 2,106 |
| Dental Filling | $111.85 | 3,113 | 1,897 |
| Root Canal | $85.68 | 769 | 303 |
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