Based on public Medicaid payment data.
Tracy S King
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
6105 Hartford Road
Baltimore, MD 21214
Phone
4102545437
NPI
1083625206
Procedures
3
Total Claims
34.6K
Patients Served
28.7K
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 | $40.37 | 23,982 | 23,432 |
| Dental Filling | $140.25 | 10,284 | 5,105 |
| Tooth Extraction | $112.71 | 317 | 206 |
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