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Based on public Medicaid payment data.

Lyly E Rodriguez

Medicaid Provider in New Haven, CT

Type

Individual Provider

Address

400 Columbus Ave

New Haven, CT 065191233

Phone

2035033250

NPI

1255590170

Procedures

3

Total Claims

20.8K

Patients Served

17.8K

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 $32.40 18,402 16,556
Dental Filling $85.16 2,372 1,176
Tooth Extraction $84.43 52 29

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