Based on public Medicaid payment data.
Raisa Samuylova
Medicaid Provider in Newark, NJ
Type
Individual Provider
Address
5 Manor Dr
Newark, NJ 07106
Phone
9733727500
NPI
1245240571
Procedures
1
Total Claims
71
Patients Served
71
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 | $16.50 | 71 | 71 |
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