Based on public Medicaid payment data.
Llisenia E. Rivera
Medicaid Provider in Bronx, NY
Type
Individual Provider
Address
1940 Grand Concourse
Bronx, NY 104575221
Phone
7185836347
NPI
1386837805
Procedures
2
Total Claims
4K
Patients Served
3.1K
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 |
|---|---|---|---|
| Tooth Extraction | $72.60 | 2,817 | 1,913 |
| Dental Cleaning & Exam | $14.53 | 1,164 | 1,164 |
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