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Based on public Medicaid payment data.

Sandra Mbibi

Medicaid Provider in League City, TX

Type

Individual Provider

Address

2360 Gulf Fwy S Ste 106

League City, TX 775736448

Phone

2813373222

NPI

1437429339

Procedures

4

Total Claims

28.8K

Patients Served

23.6K

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 $45.65 21,031 20,420
Dental Filling $87.04 6,015 2,605
Root Canal $77.87 1,492 491
Tooth Extraction $46.90 218 113

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