Based on public Medicaid payment data.
Montefiore Medical Center
Medicaid Provider in Bronx, NY
Type
Organization
Address
111 E 210Th St
Bronx, NY 104672401
Phone
7189204167
NPI
1275710519
Procedures
2
Total Claims
185
Patients Served
176
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 | $11.26 | 152 | 150 |
| Dental Filling | $24.36 | 33 | 26 |
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