Based on public Medicaid payment data.
Lolo Wong
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
3302 Gaston Ave
Dallas, TX 752462013
Phone
2148288456
NPI
1073506960
Procedures
3
Total Claims
11.3K
Patients Served
10.7K
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 | $37.04 | 10,735 | 10,409 |
| Tooth Extraction | $45.00 | 456 | 232 |
| Dental Filling | $73.93 | 127 | 97 |
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