Based on public Medicaid payment data.
Surmilena Polanco
Medicaid Provider in Passaic, NJ
Type
Individual Provider
Address
183 Jefferson St
Passaic, NJ 07055
Phone
9734721010
NPI
1447396742
Procedures
2
Total Claims
4.6K
Patients Served
4.3K
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 | $30.01 | 3,539 | 3,534 |
| Dental Filling | $97.76 | 1,032 | 812 |
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