Based on public Medicaid payment data.
Nitika Rohilla
Medicaid Provider in Manchester, CT
Type
Individual Provider
Address
240 Spencer St
Manchester, CT 060404618
Phone
4138857350
NPI
1205587516
Procedures
5
Total Claims
12.5K
Patients Served
9K
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 | $30.01 | 8,449 | 7,129 |
| Dental Filling | $68.53 | 3,846 | 1,762 |
| Root Canal | $274.58 | 160 | 58 |
| Tooth Extraction | $89.52 | 54 | 29 |
| Dental Crown | $315.61 | 18 | 12 |
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