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Based on public Medicaid payment data.

Sujatha Hettiarachchi Desilva

Medicaid Provider in Port Jervis, NY

Type

Individual Provider

Address

141 Pike St

Port Jervis, NY 127711807

Phone

8458564002

NPI

1639251846

Procedures

1

Total Claims

467

Patients Served

465

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 $25.76 467 465

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