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Based on public Medicaid payment data.

Dominique Hoa-Mi Le

Medicaid Provider in Medina, MN

Type

Individual Provider

Address

212 Clydesdale Trl Ste 1040

Medina, MN 553404585

Phone

7634786643

NPI

1427615632

Procedures

1

Total Claims

18

Patients Served

18

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 $13.46 18 18

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