Based on public Medicaid payment data.
Jacob John
Medicaid Provider in Liberty, NY
Type
Individual Provider
Address
37 Triangle Rd
Liberty, NY 127543371
Phone
8452923900
NPI
1235385055
Procedures
3
Total Claims
3.3K
Patients Served
3.3K
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 | $45.30 | 3,225 | 3,225 |
| Dental Crown | $650.00 | 16 | 12 |
| Dental Filling | $84.75 | 16 | 13 |
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