Based on public Medicaid payment data.
Serena Xu
Medicaid Provider in Longview, WA
Type
Individual Provider
Address
1057 12Th Ave
Longview, WA 986322509
Phone
3604141300
NPI
1356107288
Procedures
3
Total Claims
255
Patients Served
221
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 | $37.27 | 132 | 129 |
| Tooth Extraction | $58.12 | 64 | 45 |
| Dental Filling | $74.22 | 59 | 47 |
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