Based on public Medicaid payment data.
Mary Teddy Wray
Medicaid Provider in Bel Air, MD
Type
Individual Provider
Address
2111 Laurel Bush Rd
Bel Air, MD 210156156
Phone
4435128703
NPI
1629067475
Procedures
4
Total Claims
15.9K
Patients Served
14.5K
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 | $39.13 | 12,818 | 12,597 |
| Dental Filling | $118.58 | 2,810 | 1,730 |
| Dental Crown | $492.30 | 239 | 160 |
| Tooth Extraction | $103.00 | 25 | 12 |
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