Based on public Medicaid payment data.
Surabhi Pancholi
Medicaid Provider in Saint Paul, MN
Type
Individual Provider
Address
2500 Como Ave
Saint Paul, MN 551081460
Phone
6516472525
NPI
1992208276
Procedures
3
Total Claims
3.5K
Patients Served
2.7K
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 | $36.58 | 1,984 | 1,921 |
| Dental Filling | $50.27 | 1,128 | 592 |
| Tooth Extraction | $46.97 | 368 | 153 |
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