Based on public Medicaid payment data.
Ashley Tucker
Medicaid Provider in League City, TX
Type
Individual Provider
Address
1507 W League City Pkwy Ste 100
League City, TX 775737340
Phone
2813328400
NPI
1356726814
Procedures
3
Total Claims
478
Patients Served
446
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 | $34.90 | 409 | 409 |
| Dental Filling | $106.84 | 38 | 25 |
| Tooth Extraction | $95.16 | 31 | 12 |
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