Based on public Medicaid payment data.
Judy K Pedro-Lim
Medicaid Provider in Eagan, MN
Type
Individual Provider
Address
4640 Slater Rd
Eagan, MN 551224043
Phone
6518085252
NPI
1962574590
Procedures
5
Total Claims
25.7K
Patients Served
23.2K
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 | $49.69 | 19,754 | 19,676 |
| Dental Filling | $98.83 | 3,908 | 2,258 |
| Tooth Extraction | $124.51 | 1,693 | 1,002 |
| Root Canal | $102.12 | 309 | 183 |
| Prescription Medications | $678.25 | 43 | 42 |
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