Based on public Medicaid payment data.
Amarilis Jacobo
Medicaid Provider in New York, NY
Type
Individual Provider
Address
131 W 110Th St
New York, NY 100264202
Phone
2126781944
NPI
1265418008
Procedures
4
Total Claims
45K
Patients Served
43.6K
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 | $30.45 | 39,201 | 39,124 |
| Dental Filling | $60.67 | 3,514 | 2,703 |
| Tooth Extraction | $45.95 | 1,992 | 1,593 |
| Dental Crown | $367.59 | 271 | 217 |
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