Based on public Medicaid payment data.
Rooshika Dalaya
Medicaid Provider in Chicopee, MA
Type
Individual Provider
Address
21 Bay State Rd
Chicopee, MA 010201521
Phone
4136253013
NPI
1538735584
Procedures
3
Total Claims
6.9K
Patients Served
6.4K
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 | $40.34 | 5,303 | 5,259 |
| Dental Filling | $96.31 | 1,335 | 923 |
| Tooth Extraction | $98.00 | 289 | 208 |
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