Based on public Medicaid payment data.
Alyssa Ly
Medicaid Provider in Saint Louis, MO
Type
Individual Provider
Address
4352 Manchester Ave
Saint Louis, MO 631102138
Phone
3143710336
NPI
1811678204
Procedures
1
Total Claims
13
Patients Served
13
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 | $81.30 | 13 | 13 |
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