Based on public Medicaid payment data.
Debra Filocoma
Medicaid Provider in Portsmouth, NH
Type
Individual Provider
Address
150 Griffin Rd
Portsmouth, NH 038017131
Phone
6034362204
NPI
1902862931
Procedures
2
Total Claims
4.5K
Patients Served
4.4K
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 | $34.70 | 4,457 | 4,384 |
| Dental Filling | $104.80 | 60 | 40 |
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