Based on public Medicaid payment data.
Pediatric Dentistry Of Kingston Pllc
Medicaid Provider in Kingston, NY
Type
Organization
Address
169 Washinghton Ave
Kingston, NY 12401
Phone
8455142255
NPI
1053651554
Procedures
3
Total Claims
4.9K
Patients Served
4.6K
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 | $43.72 | 4,065 | 4,065 |
| Dental Filling | $76.40 | 710 | 447 |
| Tooth Extraction | $56.00 | 78 | 51 |
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