Based on public Medicaid payment data.
Nick Xie
Medicaid Provider in Dayton, OH
Type
Individual Provider
Address
2640 Salem Ave
Dayton, OH 454062931
Phone
9372769788
NPI
1942994090
Procedures
3
Total Claims
2.6K
Patients Served
1.7K
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 Filling | $109.96 | 1,504 | 697 |
| Dental Cleaning & Exam | $50.72 | 1,053 | 1,023 |
| Dental Crown | $797.75 | 28 | 21 |
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