Based on public Medicaid payment data.
Christine Le
Medicaid Provider in Bossier City, LA
Type
Individual Provider
Address
4325 Airline Dr
Bossier City, LA 71111
Phone
3187429333
NPI
1720717275
Procedures
3
Total Claims
421
Patients Served
290
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 |
|---|---|---|---|
| Tooth Extraction | $93.02 | 252 | 129 |
| Dental Cleaning & Exam | $32.40 | 149 | 149 |
| Root Canal | $102.22 | 20 | 12 |
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