Based on public Medicaid payment data.
Manuel Alejandro Botana
Medicaid Provider in Rochester, NY
Type
Individual Provider
Address
295 Monroe Ave
Rochester, NY 146073660
Phone
5854674513
NPI
1053481143
Procedures
4
Total Claims
16.5K
Patients Served
16K
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 | $40.98 | 15,194 | 15,191 |
| Tooth Extraction | $49.86 | 748 | 406 |
| Dental Filling | $58.75 | 519 | 384 |
| Dental Crown | $546.72 | 34 | 25 |
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