Based on public Medicaid payment data.
Michael Kokolis
Medicaid Provider in Bayside, NY
Type
Individual Provider
Address
40 21 Bell Blvd
Bayside, NY 11361
Phone
7183525582
NPI
1932282324
Procedures
4
Total Claims
45.5K
Patients Served
42.4K
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 | $22.20 | 35,910 | 35,796 |
| Dental Filling | $41.78 | 8,936 | 6,284 |
| Dental Crown | $328.52 | 582 | 289 |
| Tooth Extraction | $45.55 | 86 | 57 |
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