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Based on public Medicaid payment data.

Xuan Hong Thi Lam

Medicaid Provider in Charlotte, NC

Type

Individual Provider

Address

10220 Prosperity Park Dr Ste 100

Charlotte, NC 282691106

Phone

7049485684

NPI

1063081313

Procedures

2

Total Claims

270

Patients Served

128

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 $19.46 216 112
Dental Filling $48.72 54 16

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