Based on public Medicaid payment data.
Rajeev N Revankar
Medicaid Provider in Gasport, NY
Type
Individual Provider
Address
8403 Rochester Rd
Gasport, NY 140679211
Phone
7167725590
NPI
1700951795
Procedures
2
Total Claims
4.3K
Patients Served
4.1K
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 | $38.21 | 3,534 | 3,534 |
| Dental Filling | $84.52 | 804 | 520 |
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