Based on public Medicaid payment data.
Xiaosong Wang Natterer
Medicaid Provider in Lebanon, OR
Type
Individual Provider
Address
2000 Franklin St
Lebanon, OR 973553970
Phone
5417570755
NPI
1356424204
Procedures
3
Total Claims
15.8K
Patients Served
14.3K
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 | $0.12 | 12,255 | 12,094 |
| Dental Filling | $0.02 | 3,222 | 2,063 |
| Tooth Extraction | $1.12 | 320 | 172 |
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