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Based on public Medicaid payment data.

Mark Xenakis

Medicaid Provider in Elmhurst, NY

Type

Individual Provider

Address

80 20 Broadway

Elmhurst, NY 11373

Phone

7187791772

NPI

1093787954

Procedures

4

Total Claims

1.7K

Patients Served

1.6K

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 $40.49 1,570 1,570
Tooth Extraction $87.80 40 24
Dental Filling $53.00 31 14
Dental Crown $424.00 15 13

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