Based on public Medicaid payment data.
Adam Donovan
Medicaid Provider in Bellerose, NY
Type
Individual Provider
Address
8645 251St St
Bellerose, NY 114262407
Phone
5164170414
NPI
1205219714
Procedures
3
Total Claims
905
Patients Served
862
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 | $42.39 | 631 | 630 |
| Dental Filling | $98.03 | 253 | 211 |
| Tooth Extraction | $131.90 | 21 | 21 |
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