Based on public Medicaid payment data.
Latoya S Wilson
Medicaid Provider in St. Louis, MO
Type
Individual Provider
Address
5701 Delmar
St. Louis, MO 631120937
Phone
3143677848
NPI
1861507865
Procedures
3
Total Claims
4.6K
Patients Served
3.9K
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 | $43.20 | 3,086 | 3,064 |
| Dental Filling | $127.50 | 1,411 | 734 |
| Tooth Extraction | $109.76 | 68 | 52 |
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