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Based on public Medicaid payment data.

Sean Richard Mortensen

Medicaid Provider in Pueblo, CO

Type

Individual Provider

Address

2025 W Us Highway 50

Pueblo, CO 810081571

Phone

7195422472

NPI

1104266949

Procedures

4

Total Claims

4.1K

Patients Served

2.8K

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 $39.95 1,961 1,921
Tooth Extraction $99.63 1,158 375
Dental Filling $110.80 720 399
Dental Crown $800.97 278 132

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