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Based on public Medicaid payment data.

Staten Island Mall Dental, P.C.

Medicaid Provider in Staten Island, NY

Type

Organization

Address

2655 Richmond Avenue

Staten Island, NY 10314

Phone

7189825500

NPI

1013139237

Procedures

1

Total Claims

558

Patients Served

558

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 $9.30 558 558

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