Based on public Medicaid payment data.
Rossarin Mitsumoto
Medicaid Provider in Sleepy Hollow, NY
Type
Individual Provider
Address
245 N Broadway
Sleepy Hollow, NY 105912670
Phone
9143321272
NPI
1922238450
Procedures
4
Total Claims
136.9K
Patients Served
115.8K
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 | $27.54 | 92,604 | 92,507 |
| Dental Filling | $55.69 | 37,186 | 18,738 |
| Tooth Extraction | $49.32 | 6,942 | 4,465 |
| Root Canal | $70.93 | 184 | 125 |
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