Based on public Medicaid payment data.
Song Yi Roh
Medicaid Provider in Irvington, NJ
Type
Individual Provider
Address
2 Washington Ave
Irvington, NJ 071113550
Phone
3107805255
NPI
1316610108
Procedures
3
Total Claims
11.8K
Patients Served
10K
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 | $28.79 | 8,379 | 8,314 |
| Dental Filling | $63.16 | 3,321 | 1,620 |
| Tooth Extraction | $50.00 | 71 | 38 |
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