Based on public Medicaid payment data.
Shantanu Lal
Medicaid Provider in New York, NY
Type
Individual Provider
Address
220 Riverside Blvd
New York, NY 100691001
Phone
2128106562
NPI
1932365905
Procedures
3
Total Claims
4.6K
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 | $2.88 | 4,169 | 4,163 |
| Dental Filling | $5.78 | 433 | 397 |
| Tooth Extraction | $0.00 | 12 | 12 |
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