Based on public Medicaid payment data.
Wenjing Luo
Medicaid Provider in Portsmouth, NH
Type
Individual Provider
Address
1600 Woodbury Ave
Portsmouth, NH 038013250
Phone
6034311030
NPI
1407522121
Procedures
4
Total Claims
2.7K
Patients Served
1.4K
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 | $41.54 | 1,306 | 356 |
| Dental Cleaning & Exam | $31.45 | 1,290 | 974 |
| Dental Crown | $667.64 | 91 | 57 |
| Tooth Extraction | $135.59 | 30 | 16 |
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