Based on public Medicaid payment data.
Krista Annalise Johnson Moore
Medicaid Provider in Thornton, CO
Type
Individual Provider
Address
2800 E 136Th Ave
Thornton, CO 802413417
Phone
7208722892
NPI
1922591148
Procedures
2
Total Claims
435
Patients Served
410
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 | $35.61 | 385 | 385 |
| Dental Filling | $139.74 | 50 | 25 |
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