Based on public Medicaid payment data.
Samuel Lu
Medicaid Provider in Holyoke, MA
Type
Individual Provider
Address
50 Holyoke St
Holyoke, MA 010402709
Phone
4135387400
NPI
1235162124
Procedures
5
Total Claims
22.6K
Patients Served
19.7K
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 | $34.52 | 15,530 | 15,307 |
| Tooth Extraction | $96.82 | 6,060 | 3,654 |
| Dental Filling | $74.11 | 774 | 556 |
| Dental Crown | $634.77 | 253 | 175 |
| Root Canal | $480.00 | 20 | 13 |
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