Based on public Medicaid payment data.
Sonia El-Kweifi
Medicaid Provider in Pueblo, CO
Type
Individual Provider
Address
1022 Liberty Ln
Pueblo, CO 810012039
Phone
7196219682
NPI
1497163075
Procedures
3
Total Claims
2.6K
Patients Served
1.4K
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 |
|---|---|---|---|
| Tooth Extraction | $75.45 | 1,722 | 587 |
| Dental Cleaning & Exam | $31.26 | 880 | 760 |
| Dental Filling | $60.36 | 42 | 16 |
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