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Based on public Medicaid payment data.

Emilio Antonio Jimenez Colon

Medicaid Provider in Haverhill, MA

Type

Individual Provider

Address

2 Water St

Haverhill, MA 018306229

Phone

9783721999

NPI

1386764298

Procedures

4

Total Claims

4.5K

Patients Served

3.9K

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 $36.50 3,532 3,400
Dental Filling $71.64 654 416
Tooth Extraction $67.96 238 98
Dental Crown $680.40 30 12

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