Based on public Medicaid payment data.
Libia Rebeca Jimenez
Medicaid Provider in New York, NY
Type
Individual Provider
Address
600 W 146Th St
New York, NY 100314301
Phone
2123689532
NPI
1578636668
Procedures
3
Total Claims
27.7K
Patients Served
27.3K
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 | $31.40 | 24,715 | 24,671 |
| Dental Filling | $51.55 | 2,066 | 1,747 |
| Tooth Extraction | $49.49 | 966 | 838 |
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