Based on public Medicaid payment data.
Jaime Jose Fernandez
Medicaid Provider in Melville, NY
Type
Individual Provider
Address
458 Old Country Rd
Melville, NY 117471825
Phone
6314236767
NPI
1407999139
Procedures
2
Total Claims
819
Patients Served
748
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 | $40.05 | 670 | 666 |
| Tooth Extraction | $89.30 | 149 | 82 |
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