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Based on public Medicaid payment data.

Lawrence Jesse Dela Pena Camacho

Medicaid Provider in Clifton Park, NY

Type

Individual Provider

Address

713 Pierce Rd

Clifton Park, NY 12065

Phone

5133731181

NPI

1821675893

Procedures

4

Total Claims

6.1K

Patients Served

5.6K

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 $34.46 4,870 4,868
Dental Filling $67.35 907 550
Tooth Extraction $43.98 358 215
Root Canal $86.01 13 12

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