Based on public Medicaid payment data.
Marcelo Eduardo Calderon
Medicaid Provider in South Ozone Park, NY
Type
Individual Provider
Address
13501 Lefferts Blvd
South Ozone Park, NY 114203601
Phone
7188456297
NPI
1467677054
Procedures
3
Total Claims
6.5K
Patients Served
6.3K
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 | $28.96 | 5,946 | 5,937 |
| Dental Filling | $67.30 | 512 | 358 |
| Dental Crown | $490.73 | 21 | 12 |
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