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Based on public Medicaid payment data.

Eric Paul Gothelf

Medicaid Provider in Woodside, NY

Type

Individual Provider

Address

6121 Roosevelt Ave

Woodside, NY 113773569

Phone

7184580940

NPI

1255312641

Procedures

3

Total Claims

11.4K

Patients Served

11.1K

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 $19.58 10,712 10,698
Dental Filling $39.17 416 238
Tooth Extraction $36.93 262 178

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