Based on public Medicaid payment data.
Pavel Niderman
Medicaid Provider in New York, NY
Type
Individual Provider
Address
2060 Lexington Ave Frnt 2
New York, NY 100351759
Phone
2129965996
NPI
1992794267
Procedures
4
Total Claims
5.8K
Patients Served
4.6K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $22.03 | 3,150 | 3,150 |
| Dental Filling | $42.64 | 1,346 | 820 |
| Tooth Extraction | $33.23 | 1,185 | 567 |
| Dental Crown | $326.95 | 70 | 41 |
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