Based on public Medicaid payment data.
Damaris Altagracia Cordero
Medicaid Provider in Bronx, NY
Type
Individual Provider
Address
2925 Grand Concourse
Bronx, NY 104681707
Phone
7183294111
NPI
1053427377
Procedures
2
Total Claims
83
Patients Served
79
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 | $28.85 | 52 | 52 |
| Dental Filling | $80.61 | 31 | 27 |
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