Based on public Medicaid payment data.
Jessica Elyse Canallatos
Medicaid Provider in Buffalo, NY
Type
Individual Provider
Address
462 Grider St
Buffalo, NY 14215
Phone
7168981461
NPI
1326492208
Procedures
2
Total Claims
239
Patients Served
193
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 | $59.99 | 125 | 79 |
| Dental Cleaning & Exam | $17.89 | 114 | 114 |
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