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Based on public Medicaid payment data.

Li Ma

Medicaid Provider in Setauket, NY

Type

Individual Provider

Address

45 Route 25A Ste 1

Setauket, NY 117332821

Phone

6319056061

NPI

1033626171

Procedures

3

Total Claims

19.4K

Patients Served

17.1K

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 $37.20 16,109 14,941
Dental Filling $80.78 3,202 2,156
Tooth Extraction $86.76 72 50

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