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Based on public Medicaid payment data.

Horton Scott Li

Medicaid Provider in Lebanon, TN

Type

Individual Provider

Address

604 S Cumberland St Ste 200

Lebanon, TN 370874794

Phone

6152087286

NPI

1083142483

Procedures

3

Total Claims

3.7K

Patients Served

3.2K

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 $29.59 2,794 2,774
Dental Filling $64.76 838 457
Tooth Extraction $57.20 31 14

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