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Based on public Medicaid payment data.

Eric C Lopez-Rosario

Medicaid Provider in Central Square, NY

Type

Individual Provider

Address

3033 East Ave Ste 3

Central Square, NY 130362677

Phone

3156685600

NPI

1871840454

Procedures

4

Total Claims

7.7K

Patients Served

7.7K

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 $40.69 7,553 7,546
Dental Filling $101.25 95 81
Tooth Extraction $61.64 27 27
Dental Crown $667.00 16 12

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