Based on public Medicaid payment data.
Phong Ly
Medicaid Provider in Coon Rapids, MN
Type
Individual Provider
Address
9920 Foley Blvd Nw Ste 110
Coon Rapids, MN 554335216
Phone
7633772110
NPI
1790131761
Procedures
5
Total Claims
32.2K
Patients Served
21.1K
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 | $40.66 | 12,798 | 11,963 |
| Dental Filling | $88.71 | 12,056 | 6,315 |
| Tooth Extraction | $116.07 | 5,796 | 1,847 |
| Dental Crown | $805.50 | 1,211 | 660 |
| Root Canal | $563.22 | 300 | 273 |
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