Based on public Medicaid payment data.
Ethan Moskovic
Medicaid Provider in Ithaca, NY
Type
Individual Provider
Address
324 Elmira Rd Ste 200
Ithaca, NY 148505106
Phone
6072733000
NPI
1720570377
Procedures
2
Total Claims
87
Patients Served
58
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 Crown | $339.86 | 59 | 30 |
| Dental Cleaning & Exam | $10.09 | 28 | 28 |
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