Based on public Medicaid payment data.
Anju Nellissery
Medicaid Provider in Chicopee, MA
Type
Individual Provider
Address
1066 Granby Rd
Chicopee, MA 010201539
Phone
4135344400
NPI
1629598123
Procedures
2
Total Claims
187
Patients Served
105
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 |
|---|---|---|---|
| Tooth Extraction | $37.44 | 100 | 29 |
| Dental Cleaning & Exam | $21.74 | 87 | 76 |
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