Based on public Medicaid payment data.
Edly Destine
Medicaid Provider in Mount Vernon, NY
Type
Individual Provider
Address
88 W Lincoln Ave Ste 102
Mount Vernon, NY 105501181
Phone
1469969889
NPI
1326387341
Procedures
4
Total Claims
7.5K
Patients Served
7.1K
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 | $30.71 | 6,238 | 6,224 |
| Dental Filling | $84.66 | 855 | 603 |
| Dental Crown | $363.87 | 286 | 170 |
| Root Canal | $308.54 | 75 | 55 |
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