Based on public Medicaid payment data.
Iris Lo
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
4036 Delta Rose St
Houston, TX 770185068
Phone
9173312388
NPI
1871759621
Procedures
4
Total Claims
4.6K
Patients Served
4.2K
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 | $5.93 | 3,573 | 3,542 |
| Dental Filling | $8.62 | 767 | 501 |
| Tooth Extraction | $6.44 | 196 | 107 |
| Root Canal | $0.00 | 58 | 30 |
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