Based on public Medicaid payment data.
Carl Louis Divita
Medicaid Provider in Spencerport, NY
Type
Individual Provider
Address
2800 Spencerport Road
Spencerport, NY 145592180
Phone
5853523627
NPI
1710912274
Procedures
3
Total Claims
8.6K
Patients Served
8.1K
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 | $34.92 | 7,120 | 7,115 |
| Dental Filling | $65.18 | 1,422 | 935 |
| Tooth Extraction | $47.51 | 35 | 29 |
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