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Based on public Medicaid payment data.

Mona Pharmacy Corp

Medicaid Provider in Allston, MA

Type

Organization

Address

1349 Commonwealth Ave

Allston, MA 021343301

Phone

6172545900

NPI

1912149493

Procedures

2

Total Claims

418

Patients Served

417

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
Vaccines & Immunizations $0.00 402 402
Dental Cleaning & Exam $39.00 16 15

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