Based on public Medicaid payment data.
Raphael Vito Goldstein
Medicaid Provider in Novi, MI
Type
Individual Provider
Address
23895 Novi Rd
Novi, MI 483750201
Phone
2483742273
NPI
1417934910
Procedures
2
Total Claims
165
Patients Served
134
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 | $36.97 | 116 | 116 |
| Dental Filling | $129.00 | 49 | 18 |
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