Based on public Medicaid payment data.
Jose Aristides Roa
Medicaid Provider in Elmhurst, NY
Type
Individual Provider
Address
4071 Denman St
Elmhurst, NY 113731608
Phone
7184761573
NPI
1205828423
Procedures
2
Total Claims
4.4K
Patients Served
4.4K
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 | $32.59 | 4,335 | 4,335 |
| Dental Filling | $63.70 | 61 | 42 |
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