Based on public Medicaid payment data.
Dave C Pak
Medicaid Provider in Rochester, NH
Type
Individual Provider
Address
248 N Main St
Rochester, NH 038671125
Phone
6033320818
NPI
1952542185
Procedures
2
Total Claims
112
Patients Served
88
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 | $42.69 | 78 | 76 |
| Tooth Extraction | $125.00 | 34 | 12 |
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