Based on public Medicaid payment data.
Long K Bui
Medicaid Provider in Sierra Vista, AZ
Type
Individual Provider
Address
833 E Fry Blvd
Sierra Vista, AZ 856352625
Phone
5204595166
NPI
1518928928
Procedures
5
Total Claims
21.8K
Patients Served
15.8K
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 | $15.93 | 13,020 | 12,081 |
| Dental Filling | $35.96 | 4,588 | 2,252 |
| Tooth Extraction | $28.24 | 3,781 | 1,213 |
| Dental Crown | $130.37 | 322 | 210 |
| Root Canal | $225.02 | 65 | 54 |
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