Based on public Medicaid payment data.
Deepthi Vasireddy
Medicaid Provider in Manchester, NH
Type
Individual Provider
Address
97 W Merrimack St
Manchester, NH 031012327
Phone
6036698678
NPI
1689924953
Procedures
2
Total Claims
402
Patients Served
256
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 | $38.53 | 228 | 184 |
| Tooth Extraction | $87.87 | 174 | 72 |
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