Based on public Medicaid payment data.
Samuel Charles Pollina
Medicaid Provider in Johnstown, PA
Type
Individual Provider
Address
1253 Scalp Ave
Johnstown, PA 15904
Phone
8142699731
NPI
1427030287
Procedures
5
Total Claims
14.7K
Patients Served
11.6K
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 | $27.13 | 8,396 | 8,320 |
| Tooth Extraction | $61.63 | 3,339 | 1,275 |
| Dental Filling | $57.87 | 2,878 | 2,002 |
| Dental Crown | $233.33 | 39 | 25 |
| Root Canal | $433.33 | 15 | 14 |
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