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Based on public Medicaid payment data.

Jonathan Alan Banker

Medicaid Provider in Elizabeth, NJ

Type

Individual Provider

Address

105 Elmora Ave

Elizabeth, NJ 072021614

Phone

9083541490

NPI

1124173745

Procedures

4

Total Claims

4.7K

Patients Served

4.3K

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 $35.89 3,612 3,595
Dental Filling $69.63 577 343
Dental Crown $549.95 289 227
Tooth Extraction $49.84 238 132

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