Based on public Medicaid payment data.
Imadeh Rita Nosegbe
Medicaid Provider in Syracuse, NY
Type
Individual Provider
Address
819 S Salina St
Syracuse, NY 132023527
Phone
3154767129
NPI
1902860208
Procedures
5
Total Claims
27.6K
Patients Served
26.2K
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 | $34.78 | 24,478 | 24,202 |
| Tooth Extraction | $148.76 | 1,638 | 971 |
| Dental Filling | $95.34 | 1,415 | 958 |
| Dental Crown | $856.74 | 35 | 29 |
| Root Canal | $140.00 | 15 | 13 |
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