Based on public Medicaid payment data.
Kyle Luis Larsen
Medicaid Provider in Trinidad, CO
Type
Individual Provider
Address
928 Smith Ave
Trinidad, CO 810822841
Phone
7194228810
NPI
1386166304
Procedures
3
Total Claims
3.2K
Patients Served
2.4K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $31.05 | 2,517 | 2,140 |
| Tooth Extraction | $58.41 | 628 | 284 |
| Dental Filling | $0.00 | 13 | 12 |
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