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Based on public Medicaid payment data.

Ravi C Maddali

Medicaid Provider in New York, NY

Type

Individual Provider

Address

639 W 173Rd St

New York, NY 100321425

Phone

2129284480

NPI

1528014602

Procedures

3

Total Claims

31.5K

Patients Served

30.4K

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 $31.57 29,416 29,368
Dental Filling $49.59 2,027 983
Tooth Extraction $63.01 26 25

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