Based on public Medicaid payment data.
Roman Izmailov
Medicaid Provider in Pomona, NY
Type
Individual Provider
Address
5C Medical Park Drive
Pomona, NY 109702443
Phone
8453649400
NPI
1487644456
Procedures
4
Total Claims
13.9K
Patients Served
13.5K
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 | $32.91 | 10,982 | 10,982 |
| Dental Filling | $66.13 | 1,375 | 1,125 |
| Dental Crown | $454.72 | 1,286 | 1,129 |
| Root Canal | $286.35 | 290 | 289 |
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