Based on public Medicaid payment data.
Jie Li
Medicaid Provider in Fort Wayne, IN
Type
Individual Provider
Address
1717 S Calhoun St
Fort Wayne, IN 468025257
Phone
2604582641
NPI
1609457100
Procedures
3
Total Claims
1.5K
Patients Served
1.3K
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 | $34.34 | 1,304 | 1,169 |
| Dental Filling | $86.53 | 170 | 81 |
| Tooth Extraction | $92.38 | 73 | 31 |
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