Based on public Medicaid payment data.
Jacqueline Dikansky
Medicaid Provider in New York, NY
Type
Individual Provider
Address
201 E 21St St Apt 1H
New York, NY 100106401
Phone
0000000000
NPI
1285021824
Procedures
2
Total Claims
1.4K
Patients Served
1.3K
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 | $37.83 | 1,344 | 1,307 |
| Dental Filling | $82.86 | 20 | 14 |
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