Based on public Medicaid payment data.
Lesley Nicole Latham
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
2752 Gaston Ave Apt 932
Dallas, TX 752262736
Phone
7135016499
NPI
1649683095
Procedures
3
Total Claims
979
Patients Served
934
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 | $61.74 | 843 | 843 |
| Dental Filling | $56.17 | 87 | 55 |
| Tooth Extraction | $57.40 | 49 | 36 |
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