Based on public Medicaid payment data.
Mona Boside
Medicaid Provider in New York, NY
Type
Individual Provider
Address
630 W 168Th St Ph 7
New York, NY 100323725
Phone
2123057069
NPI
1245757608
Procedures
2
Total Claims
402
Patients Served
398
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 | $2.90 | 361 | 360 |
| Root Canal | $53.10 | 41 | 38 |
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