Based on public Medicaid payment data.
Ji Su Song
Medicaid Provider in Holyoke, MA
Type
Individual Provider
Address
2285 Northampton St
Holyoke, MA 010403447
Phone
4132676448
NPI
1154161180
Procedures
2
Total Claims
1.5K
Patients Served
1.4K
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 | $42.44 | 1,169 | 1,145 |
| Dental Filling | $92.96 | 339 | 223 |
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