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Based on public Medicaid payment data.

Samuel Ivan Olson

Medicaid Provider in Westminster, CO

Type

Individual Provider

Address

11550 Sheridan Blvd Ste 101

Westminster, CO 800203312

Phone

7204643901

NPI

1124683818

Procedures

4

Total Claims

3K

Patients Served

2.6K

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 $38.20 2,226 2,150
Dental Filling $128.41 483 305
Tooth Extraction $118.80 271 95
Dental Crown $478.10 28 25

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