Based on public Medicaid payment data.
Sidney Lawrence Bourgeois
Medicaid Provider in Syracuse, NY
Type
Individual Provider
Address
800 Irving Avenue (160)
Syracuse, NY 13210
Phone
3154252468
NPI
1629071154
Procedures
2
Total Claims
192
Patients Served
76
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 |
|---|---|---|---|
| Tooth Extraction | $392.26 | 155 | 39 |
| Dental Cleaning & Exam | $73.76 | 37 | 37 |
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