Based on public Medicaid payment data.
Maryam Mohammadvali Samani
Medicaid Provider in Mansfield, MA
Type
Individual Provider
Address
292 Chauncy St # 150
Mansfield, MA 020481203
Phone
5084069592
NPI
1013427285
Procedures
5
Total Claims
4.4K
Patients Served
3.6K
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 | $38.19 | 3,324 | 3,146 |
| Dental Crown | $687.48 | 491 | 155 |
| Dental Filling | $66.33 | 484 | 227 |
| Tooth Extraction | $103.66 | 103 | 53 |
| Root Canal | $731.00 | 22 | 15 |
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