Based on public Medicaid payment data.
Mary Le
Medicaid Provider in Kansas City, MO
Type
Individual Provider
Address
13541 Madison Ave
Kansas City, MO 641451669
Phone
8169423044
NPI
1851447502
Procedures
3
Total Claims
8.4K
Patients Served
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 | $30.58 | 7,926 | 7,660 |
| Dental Filling | $79.40 | 368 | 253 |
| Tooth Extraction | $89.27 | 78 | 51 |
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