Based on public Medicaid payment data.
Ashley Abraham Chacko
Medicaid Provider in Grosse Pointe Woods, MI
Type
Individual Provider
Address
19251 Mack Ave Ste 220
Grosse Pointe Woods, MI 48236
Phone
3133437361
NPI
1366893166
Procedures
3
Total Claims
3K
Patients Served
2.9K
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 | 2,647 | 2,645 |
| Dental Filling | $106.02 | 292 | 218 |
| Tooth Extraction | $124.29 | 14 | 12 |
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