Based on public Medicaid payment data.
Juan Jose Pesantes
Medicaid Provider in Corona, NY
Type
Individual Provider
Address
4104 102Nd St
Corona, NY 113682480
Phone
7186513939
NPI
1225208101
Procedures
1
Total Claims
267
Patients Served
265
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 | $17.06 | 267 | 265 |
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