Based on public Medicaid payment data.
Lan-Tu Dang Holem
Medicaid Provider in Mexico, MO
Type
Individual Provider
Address
340 Kelley Pkwy
Mexico, MO 652653811
Phone
5735821234
NPI
1902892235
Procedures
3
Total Claims
6.9K
Patients Served
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 Cleaning & Exam | $41.58 | 5,178 | 4,934 |
| Dental Filling | $111.36 | 1,167 | 817 |
| Tooth Extraction | $124.97 | 550 | 232 |
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