Based on public Medicaid payment data.
Jenny Susana Sam Ho
Medicaid Provider in Farmington, CT
Type
Individual Provider
Address
263 Farmington Ave
Farmington, CT 060321956
Phone
8606794642
NPI
1720375108
Procedures
2
Total Claims
971
Patients Served
720
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 | $0.00 | 931 | 684 |
| Dental Filling | $0.00 | 40 | 36 |
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