Based on public Medicaid payment data.
Ngocdiep Nguyen Sudbrook
Medicaid Provider in Plano, TX
Type
Individual Provider
Address
1101 Jupiter Rd
Plano, TX 750747055
Phone
9724225020
NPI
1558512012
Procedures
2
Total Claims
1.4K
Patients Served
1.2K
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 | $42.69 | 1,083 | 1,079 |
| Dental Filling | $85.89 | 305 | 136 |
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