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Based on public Medicaid payment data.

Jeffery A. Derose

Medicaid Provider in Niagara Falls, NY

Type

Individual Provider

Address

2145 Lancelot Dr

Niagara Falls, NY 143043093

Phone

7162983567

NPI

1184885717

Procedures

2

Total Claims

5.3K

Patients Served

5.3K

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 $40.33 5,205 5,205
Dental Filling $99.27 122 93

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