Based on public Medicaid payment data.
Yelena Vladimirovna Gutnichenko
Medicaid Provider in Waltham, MA
Type
Individual Provider
Address
695 Main St
Waltham, MA 024510609
Phone
7818997070
NPI
1174553481
Procedures
3
Total Claims
63.5K
Patients Served
59.7K
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 | $43.76 | 51,439 | 51,292 |
| Dental Filling | $108.71 | 10,715 | 7,556 |
| Tooth Extraction | $79.77 | 1,334 | 875 |
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