Based on public Medicaid payment data.
Jeffrey Peter Sam
Medicaid Provider in New Haven, CT
Type
Individual Provider
Address
122 Amity Rd
New Haven, CT 065151405
Phone
2033899600
NPI
1992499289
Procedures
4
Total Claims
5.1K
Patients Served
3.4K
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 | 2,929 | 2,498 |
| Dental Filling | $65.39 | 1,695 | 745 |
| Tooth Extraction | $52.50 | 436 | 117 |
| Root Canal | $213.32 | 46 | 12 |
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