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Based on public Medicaid payment data.

Jesse Snow

Medicaid Provider in Portsmouth, NH

Type

Individual Provider

Address

200 Griffin Rd Ste 8

Portsmouth, NH 038017145

Phone

6034363608

NPI

1821353772

Procedures

2

Total Claims

631

Patients Served

537

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 $44.58 494 470
Tooth Extraction $121.09 137 67

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