Based on public Medicaid payment data.
Luz M Tennassee
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
707 S President St Apt 1416
Baltimore, MD 212024498
Phone
3017045539
NPI
1265556658
Procedures
3
Total Claims
16.2K
Patients Served
15.2K
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 | $37.61 | 14,128 | 13,974 |
| Dental Filling | $113.78 | 1,476 | 887 |
| Tooth Extraction | $106.72 | 548 | 311 |
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