Based on public Medicaid payment data.
Stanislav Moline
Medicaid Provider in Ellington, CT
Type
Individual Provider
Address
2 Chucrh St
Ellington, CT 060290670
Phone
8600000000
NPI
1821008202
Procedures
2
Total Claims
352
Patients Served
298
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 | $41.84 | 338 | 285 |
| Root Canal | $966.75 | 14 | 13 |
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