Based on public Medicaid payment data.
Jason Tan
Medicaid Provider in New York, NY
Type
Individual Provider
Address
437 W 125Th St
New York, NY 100274201
Phone
6468279819
NPI
1518307743
Procedures
3
Total Claims
3.4K
Patients Served
1.8K
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 | $93.11 | 2,691 | 1,121 |
| Dental Cleaning & Exam | $34.22 | 636 | 635 |
| Office Visit | $60.62 | 42 | 37 |
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