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Based on public Medicaid payment data.

Stephanie Asusta

Medicaid Provider in Bronx, NY

Type

Individual Provider

Address

111 East 210Th Street

Bronx, NY 10467

Phone

7189204321

NPI

1588105480

Procedures

4

Total Claims

21.3K

Patients Served

20.2K

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 $39.23 17,238 17,236
Dental Filling $108.91 2,828 1,963
Tooth Extraction $57.37 1,106 869
Root Canal $100.69 169 146

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