Based on public Medicaid payment data.
Jeffrey Ly
Medicaid Provider in Cincinnati, OH
Type
Individual Provider
Address
867 Eastgate North Dr
Cincinnati, OH 452451791
Phone
5138430133
NPI
1144845959
Procedures
3
Total Claims
17.8K
Patients Served
16.3K
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 | $9.49 | 14,485 | 13,970 |
| Dental Filling | $17.04 | 2,796 | 1,999 |
| Tooth Extraction | $14.25 | 474 | 343 |
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