Based on public Medicaid payment data.
Andy Le
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
612 Nw 25Th St
Fort Worth, TX 761647009
Phone
9728983694
NPI
1467788646
Procedures
3
Total Claims
5.3K
Patients Served
4.8K
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 | $0.90 | 3,889 | 3,757 |
| Dental Filling | $1.49 | 789 | 672 |
| Tooth Extraction | $3.98 | 659 | 397 |
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