Based on public Medicaid payment data.
Daniel B Moheban
Medicaid Provider in Worcester, MA
Type
Individual Provider
Address
200 Lincoln St
Worcester, MA 016052528
Phone
5087566264
NPI
1891718961
Procedures
3
Total Claims
13.4K
Patients Served
12.4K
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 | $38.54 | 12,369 | 11,791 |
| Dental Filling | $79.92 | 643 | 426 |
| Tooth Extraction | $77.45 | 343 | 156 |
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