Based on public Medicaid payment data.
Marita Smith
Medicaid Provider in Pomona, NY
Type
Individual Provider
Address
5C Medical Park Drive
Pomona, NY 10970
Phone
8453649400
NPI
1659630663
Procedures
4
Total Claims
152.9K
Patients Served
149.8K
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 | $27.91 | 131,912 | 131,901 |
| Dental Filling | $84.57 | 16,447 | 13,865 |
| Root Canal | $72.21 | 3,773 | 3,377 |
| Tooth Extraction | $44.11 | 772 | 686 |
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