Based on public Medicaid payment data.
Ashley Nicole Connolly
Medicaid Provider in Hermon, ME
Type
Individual Provider
Address
29 Stoneybrook Way
Hermon, ME 044010553
Phone
2072143145
NPI
1184154684
Procedures
1
Total Claims
133
Patients Served
133
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 | $60.64 | 133 | 133 |
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