Based on public Medicaid payment data.
Soun L Wong
Medicaid Provider in Fountain Hill, PA
Type
Individual Provider
Address
601 Delaware Ave
Fountain Hill, PA 180151105
Phone
6108686768
NPI
1285671230
Procedures
3
Total Claims
1.3K
Patients Served
1.2K
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 | $29.77 | 1,106 | 1,098 |
| Dental Filling | $54.60 | 191 | 88 |
| Tooth Extraction | $65.00 | 26 | 14 |
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