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Based on public Medicaid payment data.

Tessa Holmes

Medicaid Provider in Spokane, WA

Type

Individual Provider

Address

611 E 31St Ave

Spokane, WA 992033101

Phone

3609042658

NPI

1942863196

Procedures

3

Total Claims

10.7K

Patients Served

9.7K

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 $29.29 9,393 9,081
Dental Filling $81.68 1,100 558
Tooth Extraction $57.33 180 95

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