Based on public Medicaid payment data.
Amy N Alexcovich
Medicaid Provider in Old Town, ME
Type
Individual Provider
Address
242 Brunswick St
Old Town, ME 044681613
Phone
2078276605
NPI
1538323019
Procedures
4
Total Claims
12.3K
Patients Served
9.6K
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 | $36.84 | 8,616 | 8,229 |
| Tooth Extraction | $102.29 | 1,953 | 659 |
| Root Canal | $116.45 | 952 | 276 |
| Dental Filling | $96.78 | 821 | 452 |
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