Based on public Medicaid payment data.
Konstantine Kiselev
Medicaid Provider in Staten Island, NY
Type
Individual Provider
Address
42 Giffords Ln
Staten Island, NY 103082014
Phone
7185544299
NPI
1285846899
Procedures
3
Total Claims
3K
Patients Served
2.9K
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 | $24.39 | 2,799 | 2,798 |
| Dental Crown | $476.26 | 123 | 82 |
| Root Canal | $243.17 | 28 | 24 |
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