Based on public Medicaid payment data.
Gaston To'Olo
Medicaid Provider in Bangor, ME
Type
Individual Provider
Address
1048 Union St
Bangor, ME 044018600
Phone
2079455247
NPI
1851515514
Procedures
3
Total Claims
15.4K
Patients Served
14.3K
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 | $30.90 | 13,401 | 13,106 |
| Tooth Extraction | $85.14 | 1,378 | 752 |
| Dental Filling | $95.85 | 665 | 473 |
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