Based on public Medicaid payment data.
Carmen M. Vidal
Medicaid Provider in Rochester, NY
Type
Individual Provider
Address
2104 E Henrietta Rd
Rochester, NY 14623
Phone
5858657030
NPI
1538389440
Procedures
3
Total Claims
4.3K
Patients Served
4K
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 | $34.35 | 3,269 | 3,269 |
| Dental Filling | $65.57 | 977 | 689 |
| Tooth Extraction | $46.28 | 72 | 55 |
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