Based on public Medicaid payment data.
Ivan Yancarlo Mendoza
Medicaid Provider in South Walpole, MA
Type
Individual Provider
Address
178 Summer St
South Walpole, MA 020711044
Phone
3057667626
NPI
1811467376
Procedures
2
Total Claims
1.4K
Patients Served
610
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 | $19.64 | 978 | 537 |
| Dental Filling | $23.57 | 464 | 73 |
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