Based on public Medicaid payment data.
Shady Samuel
Medicaid Provider in Mineola, NY
Type
Individual Provider
Address
18 Jerome Ave
Mineola, NY 115013302
Phone
7182680452
NPI
1245536382
Procedures
4
Total Claims
37.5K
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 | $27.96 | 30,965 | 30,962 |
| Dental Filling | $86.24 | 3,691 | 3,021 |
| Root Canal | $132.83 | 1,628 | 1,097 |
| Tooth Extraction | $41.92 | 1,230 | 1,003 |
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