Based on public Medicaid payment data.
Kendra Marie Irizarry Pagan
Medicaid Provider in New York, NY
Type
Individual Provider
Address
200 W 57Th St Ste 804
New York, NY 100193266
Phone
6468959680
NPI
1427491786
Procedures
2
Total Claims
90
Patients Served
67
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 | $36.64 | 76 | 55 |
| Dental Cleaning & Exam | $17.80 | 14 | 12 |
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