Based on public Medicaid payment data.
Eleni Mavrakis
Medicaid Provider in Bronx, NY
Type
Individual Provider
Address
111 E 210Th St
Bronx, NY 104672401
Phone
7189204321
NPI
1710370218
Procedures
3
Total Claims
35.2K
Patients Served
32.1K
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 | $33.89 | 27,518 | 27,380 |
| Dental Filling | $63.45 | 7,243 | 4,509 |
| Tooth Extraction | $47.07 | 390 | 256 |
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