Based on public Medicaid payment data.
Xin Li
Medicaid Provider in Conroe, TX
Type
Individual Provider
Address
1336 League Line Rd Ste 400
Conroe, TX 773043457
Phone
2107902553
NPI
1457911505
Procedures
4
Total Claims
6.1K
Patients Served
5.1K
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 | $44.78 | 4,298 | 4,142 |
| Dental Filling | $88.62 | 1,637 | 878 |
| Tooth Extraction | $44.64 | 106 | 69 |
| Root Canal | $80.73 | 76 | 44 |
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