Based on public Medicaid payment data.
Patria Iris Reynoso
Medicaid Provider in Jackson Heights, NY
Type
Individual Provider
Address
9506 Roosevelt Ave
Jackson Heights, NY 113728029
Phone
7185079100
NPI
1538130091
Procedures
3
Total Claims
37.1K
Patients Served
36.1K
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 | $31.17 | 34,552 | 34,472 |
| Dental Filling | $58.15 | 2,418 | 1,507 |
| Tooth Extraction | $52.47 | 85 | 71 |
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