Based on public Medicaid payment data.
Mario Alejandro Montoya
Medicaid Provider in Southbridge, MA
Type
Individual Provider
Address
32 Orchard St
Southbridge, MA 015504004
Phone
7743181484
NPI
1447398227
Procedures
2
Total Claims
391
Patients Served
369
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 | $41.94 | 356 | 350 |
| Dental Filling | $64.49 | 35 | 19 |
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