Based on public Medicaid payment data.
Jack Michael Dorkhom
Medicaid Provider in Pittsford, NY
Type
Individual Provider
Address
101 Sully'S Trl
Pittsford, NY 14534
Phone
5855868895
NPI
1184831109
Procedures
1
Total Claims
394
Patients Served
394
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 | $53.30 | 394 | 394 |
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