Based on public Medicaid payment data.
Peony Fong-Rosales
Medicaid Provider in New York, NY
Type
Individual Provider
Address
80 Bowery Street
New York, NY 10013
Phone
2122198182
NPI
1164771705
Procedures
4
Total Claims
3.7K
Patients Served
3.6K
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 | $32.42 | 3,339 | 3,339 |
| Dental Crown | $478.91 | 129 | 93 |
| Dental Filling | $50.14 | 120 | 66 |
| Tooth Extraction | $41.12 | 107 | 80 |
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