Based on public Medicaid payment data.
Adelberg Pediatric Dental Pc
Medicaid Provider in Smithtown, NY
Type
Organization
Address
260 E Main St
Smithtown, NY 117872982
Phone
6313607337
NPI
1851579841
Procedures
3
Total Claims
575
Patients Served
540
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 | $31.30 | 448 | 448 |
| Dental Filling | $39.48 | 100 | 72 |
| Tooth Extraction | $30.29 | 27 | 20 |
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