Based on public Medicaid payment data.
Phong Cam Ta
Medicaid Provider in New York, NY
Type
Individual Provider
Address
410 W 53Rd St
New York, NY 100195622
Phone
2155278768
NPI
1861646747
Procedures
3
Total Claims
535
Patients Served
418
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 | $33.46 | 335 | 335 |
| Dental Filling | $81.11 | 134 | 67 |
| Root Canal | $82.65 | 66 | 16 |
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