Based on public Medicaid payment data.
Viviana Portillo
Medicaid Provider in Englewood, NJ
Type
Individual Provider
Address
370 Grand Ave Ste 200
Englewood, NJ 076314109
Phone
2018713555
NPI
1164152591
Procedures
1
Total Claims
140
Patients Served
82
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 |
|---|---|---|---|
| Tooth Extraction | $164.47 | 140 | 82 |
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