Based on public Medicaid payment data.
White Spruce Smiles Dental, Pllc
Medicaid Provider in Rochester, NY
Type
Organization
Address
2024 W Henrietta Rd Ste 1A
Rochester, NY 146231356
Phone
5859196624
NPI
1568108496
Procedures
2
Total Claims
785
Patients Served
774
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 | $32.74 | 745 | 745 |
| Dental Filling | $78.94 | 40 | 29 |
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