Based on public Medicaid payment data.
Krishnaprasanth Mudusu
Medicaid Provider in Springfield, MA
Type
Individual Provider
Address
555 State St
Springfield, MA 011094101
Phone
4137360027
NPI
1285960351
Procedures
4
Total Claims
20.6K
Patients Served
18.1K
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 | $38.40 | 16,081 | 15,519 |
| Tooth Extraction | $74.31 | 2,432 | 1,297 |
| Dental Filling | $75.60 | 1,958 | 1,176 |
| Dental Crown | $670.89 | 171 | 95 |
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