Based on public Medicaid payment data.
Alexander Sergey Litvinov
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
3223 N Broad St
Philadelphia, PA 191405007
Phone
2157072863
NPI
1194812974
Procedures
2
Total Claims
87
Patients Served
60
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 |
|---|---|---|---|
| Tooth Extraction | $51.92 | 51 | 24 |
| Dental Cleaning & Exam | $28.39 | 36 | 36 |
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