Based on public Medicaid payment data.
Svetlana Ponomareva
Medicaid Provider in Ny, NY
Type
Individual Provider
Address
3627 Brodway
Ny, NY 10031
Phone
2122342300
NPI
1093796963
Procedures
3
Total Claims
15.2K
Patients Served
15.1K
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 | $29.97 | 15,077 | 15,062 |
| Dental Filling | $77.47 | 73 | 54 |
| Dental Crown | $363.28 | 26 | 15 |
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