Based on public Medicaid payment data.
Elizabeth Sophie Persico
Medicaid Provider in New York, NY
Type
Individual Provider
Address
15 E 91St St
New York, NY 101280648
Phone
2129666680
NPI
1225262488
Procedures
3
Total Claims
2.1K
Patients Served
2K
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 | $35.75 | 1,953 | 1,953 |
| Dental Filling | $104.75 | 116 | 74 |
| Tooth Extraction | $69.05 | 20 | 14 |
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