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Based on public Medicaid payment data.

Annick M Fomete

Medicaid Provider in Bronx, NY

Type

Individual Provider

Address

1775 Grand Concourse Fl 6

Bronx, NY 104538202

Phone

7189018158

NPI

1740771153

Procedures

4

Total Claims

8.6K

Patients Served

7.4K

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 $39.75 4,784 4,783
Dental Filling $107.18 2,695 1,765
Dental Crown $809.65 824 578
Root Canal $423.72 297 238

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