Based on public Medicaid payment data.
Martin Chocholik
Medicaid Provider in Houghton, NY
Type
Individual Provider
Address
9864 Luckey Dr
Houghton, NY 147448706
Phone
7163757500
NPI
1457873473
Procedures
3
Total Claims
129
Patients Served
78
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 | $40.53 | 84 | 53 |
| Tooth Extraction | $58.56 | 29 | 12 |
| Dental Filling | $76.67 | 16 | 13 |
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