Based on public Medicaid payment data.
Edward Shalomov
Medicaid Provider in Jamaica, NY
Type
Individual Provider
Address
16110 Jamaica Ave
Jamaica, NY 114326149
Phone
7185238400
NPI
1699921437
Procedures
5
Total Claims
18.4K
Patients Served
18.2K
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 | $26.34 | 17,509 | 17,486 |
| Dental Filling | $54.24 | 832 | 629 |
| Dental Crown | $307.47 | 20 | 12 |
| Root Canal | $169.02 | 13 | 12 |
| Tooth Extraction | $45.86 | 13 | 12 |
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