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Based on public Medicaid payment data.

Athena Kabouris

Medicaid Provider in Suffern, NY

Type

Individual Provider

Address

29 N Airmont Rd Ste 202

Suffern, NY 109014221

Phone

8453693703

NPI

1821554510

Procedures

3

Total Claims

12.1K

Patients Served

10.9K

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 $27.38 11,277 10,357
Dental Filling $81.37 651 396
Tooth Extraction $61.35 154 99

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