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Based on public Medicaid payment data.

Tae Gon Song

Medicaid Provider in Mesquite, TX

Type

Individual Provider

Address

507 N Galloway Ave

Mesquite, TX 751493405

Phone

9723297000

NPI

1346591906

Procedures

2

Total Claims

26.9K

Patients Served

16.6K

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 Filling $96.78 13,560 3,509
Dental Cleaning & Exam $43.17 13,300 13,043

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