Based on public Medicaid payment data.
Claudia Botero-Mondul
Medicaid Provider in New York, NY
Type
Individual Provider
Address
49 Wadsworth Ave
New York, NY 100337048
Phone
2129271112
NPI
1710977749
Procedures
3
Total Claims
21.7K
Patients Served
19.9K
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 | $11.85 | 17,575 | 17,409 |
| Dental Filling | $25.09 | 4,110 | 2,508 |
| Dental Crown | $253.00 | 15 | 12 |
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