Based on public Medicaid payment data.
Nicole Grassi
Medicaid Provider in Fayetteville, NY
Type
Individual Provider
Address
6809 E Genesee St
Fayetteville, NY 130661032
Phone
3153001737
NPI
1649656505
Procedures
1
Total Claims
80
Patients Served
80
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 | $37.27 | 80 | 80 |
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