Based on public Medicaid payment data.
Victor M. Petriella
Medicaid Provider in South Orange, NJ
Type
Individual Provider
Address
177 Irvington Ave
South Orange, NJ 070792264
Phone
9737625773
NPI
1093763724
Procedures
2
Total Claims
1.2K
Patients Served
763
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 |
|---|---|---|---|
| Tooth Extraction | $68.47 | 1,111 | 641 |
| Dental Cleaning & Exam | $0.00 | 134 | 122 |
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