Based on public Medicaid payment data.
Andrew Small
Medicaid Provider in Holyoke, MA
Type
Individual Provider
Address
2285 Northampton St
Holyoke, MA 010403447
Phone
4135348700
NPI
1730474172
Procedures
5
Total Claims
10.1K
Patients Served
8.5K
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 | $38.20 | 6,691 | 6,431 |
| Dental Filling | $76.33 | 1,782 | 1,141 |
| Dental Crown | $703.80 | 901 | 526 |
| Tooth Extraction | $112.42 | 716 | 369 |
| Root Canal | $564.00 | 14 | 13 |
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