Based on public Medicaid payment data.
Andy Wan
Medicaid Provider in Bronx, NY
Type
Individual Provider
Address
4422 Third Avenue
Bronx, NY 10457
Phone
7183329888
NPI
1194019901
Procedures
5
Total Claims
21.6K
Patients Served
21.2K
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 | $31.93 | 19,159 | 19,153 |
| Dental Filling | $68.42 | 1,108 | 952 |
| Tooth Extraction | $58.61 | 815 | 744 |
| Dental Crown | $516.69 | 433 | 333 |
| Root Canal | $371.49 | 57 | 53 |
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