Based on public Medicaid payment data.
Shameem Wahab
Medicaid Provider in Rome, NY
Type
Individual Provider
Address
Great Lakes Dental Services, Pc
Rome, NY 13440
Phone
3153360494
NPI
1962623116
Procedures
4
Total Claims
15.7K
Patients Served
15.1K
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 | $38.86 | 12,574 | 12,567 |
| Dental Filling | $78.89 | 2,698 | 2,146 |
| Tooth Extraction | $58.03 | 412 | 332 |
| Dental Crown | $694.05 | 26 | 24 |
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