Based on public Medicaid payment data.
Carlos Manuel Ovalle
Medicaid Provider in New York, NY
Type
Individual Provider
Address
201 Wadsworth Ave Apt Gd2
New York, NY 100333862
Phone
2129271721
NPI
1790988939
Procedures
2
Total Claims
18.5K
Patients Served
18.1K
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 | $29.80 | 17,158 | 17,091 |
| Dental Filling | $61.41 | 1,340 | 1,028 |
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