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Based on public Medicaid payment data.

Manuel Alcides Gonzalez

Medicaid Provider in Roselle Park, NJ

Type

Individual Provider

Address

440 E Westfield Ave Ste 2

Roselle Park, NJ 072042452

Phone

9084694375

NPI

1457311144

Procedures

4

Total Claims

6.2K

Patients Served

6K

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 $30.95 5,573 5,537
Dental Filling $70.42 437 323
Tooth Extraction $76.70 131 78
Root Canal $589.01 96 96

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