Based on public Medicaid payment data.
Jason Gordon
Medicaid Provider in New York, NY
Type
Individual Provider
Address
108 E 96Th St
New York, NY 101286217
Phone
9144191818
NPI
1033641493
Procedures
2
Total Claims
2.7K
Patients Served
1.6K
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 |
|---|---|---|---|
| Tooth Extraction | $185.92 | 1,697 | 673 |
| Dental Cleaning & Exam | $46.89 | 995 | 960 |
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