Based on public Medicaid payment data.
Stephen Miguel Pou
Medicaid Provider in Fairfield, CT
Type
Individual Provider
Address
2150 Black Rock Tpke Ste 201
Fairfield, CT 06825
Phone
2033332060
NPI
1760045066
Procedures
3
Total Claims
1.3K
Patients Served
1.2K
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 | $34.35 | 949 | 938 |
| Dental Filling | $70.50 | 333 | 230 |
| Tooth Extraction | $74.91 | 14 | 12 |
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