Based on public Medicaid payment data.
Ericka Montalvan
Medicaid Provider in Smithtown, NY
Type
Individual Provider
Address
260 E Main St Ste 110
Smithtown, NY 117872923
Phone
6313607337
NPI
1407034416
Procedures
1
Total Claims
822
Patients Served
822
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 | $31.01 | 822 | 822 |
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