Based on public Medicaid payment data.
Jeff S Tan
Medicaid Provider in Lewisville, TX
Type
Individual Provider
Address
930 W Main St
Lewisville, TX 750673516
Phone
4694441595
NPI
1003162934
Procedures
1
Total Claims
422
Patients Served
419
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 | $27.65 | 422 | 419 |
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