Based on public Medicaid payment data.
Ky Trong Le
Medicaid Provider in Jacksonville, FL
Type
Individual Provider
Address
2005 Knight Lane
Jacksonville, FL 322120140
Phone
6194538600
NPI
1306180708
Procedures
3
Total Claims
696
Patients Served
596
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 | $60.85 | 478 | 477 |
| Dental Filling | $65.56 | 143 | 79 |
| Tooth Extraction | $119.00 | 75 | 40 |
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