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Based on public Medicaid payment data.

Danette Elizabeth Holmes

Medicaid Provider in Bronx Ny, NY

Type

Individual Provider

Address

1245 Southern Blvd.

Bronx Ny, NY 10459

Phone

7188933560

NPI

1346554839

Procedures

2

Total Claims

38

Patients Served

38

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 $29.07 26 26
Dental Filling $98.66 12 12

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