Based on public Medicaid payment data.
Olivia Joelle Ndoutoume
Medicaid Provider in Longview, TX
Type
Individual Provider
Address
2801 Bill Owens Pkwy
Longview, TX 756052115
Phone
6503077135
NPI
1154878551
Procedures
3
Total Claims
13.6K
Patients Served
12.1K
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 | $29.63 | 10,543 | 10,417 |
| Dental Filling | $60.81 | 3,075 | 1,636 |
| Root Canal | $84.05 | 21 | 12 |
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