Based on public Medicaid payment data.
Mauricio Wiltz
Medicaid Provider in Bronx, NY
Type
Individual Provider
Address
3332 Rochambeau Avenue
Bronx, NY 104672836
Phone
7189204984
NPI
1760485247
Procedures
2
Total Claims
5.6K
Patients Served
4.8K
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 | $76.48 | 2,836 | 2,096 |
| Dental Cleaning & Exam | $18.86 | 2,747 | 2,693 |
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