Based on public Medicaid payment data.
Edward Rudolph
Medicaid Provider in New Square, NY
Type
Individual Provider
Address
728 N Main St
New Square, NY 109778916
Phone
8453549300
NPI
1457649824
Procedures
4
Total Claims
57.8K
Patients Served
31.3K
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 | $7.81 | 48,671 | 24,792 |
| Dental Filling | $10.00 | 7,976 | 5,641 |
| Dental Crown | $12.40 | 1,130 | 801 |
| Root Canal | $0.00 | 66 | 56 |
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