Based on public Medicaid payment data.
Maribel Montes
Medicaid Provider in Jackson Heights, NY
Type
Individual Provider
Address
3745 75Th St
Jackson Heights, NY 113726425
Phone
7188986010
NPI
1356492136
Procedures
2
Total Claims
3.6K
Patients Served
3.6K
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 | $32.72 | 3,468 | 3,463 |
| Dental Filling | $130.74 | 112 | 95 |
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