Based on public Medicaid payment data.
Jack Lam
Medicaid Provider in New York, NY
Type
Individual Provider
Address
53 Elizabeth St # 2F
New York, NY 100134617
Phone
2122198182
NPI
1487128518
Procedures
4
Total Claims
10.3K
Patients Served
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 | $31.65 | 9,878 | 8,794 |
| Tooth Extraction | $41.00 | 247 | 124 |
| Dental Crown | $424.24 | 75 | 51 |
| Dental Filling | $39.60 | 52 | 24 |
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