Based on public Medicaid payment data.
Sergey Zemlyansky
Medicaid Provider in Gloucester, MA
Type
Individual Provider
Address
127 Eastern Ave
Gloucester, MA 019301802
Phone
9782837200
NPI
1811091416
Procedures
3
Total Claims
3.3K
Patients Served
3K
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 | $36.90 | 3,026 | 2,835 |
| Dental Crown | $523.71 | 289 | 167 |
| Tooth Extraction | $124.47 | 17 | 12 |
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