Based on public Medicaid payment data.
Jack Levi
Medicaid Provider in Teaneck, NJ
Type
Individual Provider
Address
185 Cedar Ln
Teaneck, NJ 076664316
Phone
2013855400
NPI
1982791166
Procedures
2
Total Claims
304
Patients Served
293
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 |
|---|---|---|---|
| Root Canal | $147.73 | 278 | 268 |
| Dental Cleaning & Exam | $18.27 | 26 | 25 |
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