Based on public Medicaid payment data.
Lady Ann Sugay Dionisio
Medicaid Provider in Tacoma, WA
Type
Individual Provider
Address
5401 6Th Ave Ste 201
Tacoma, WA 984062618
Phone
2537595437
NPI
1568940120
Procedures
4
Total Claims
29.2K
Patients Served
19K
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 | $51.02 | 12,712 | 12,636 |
| Dental Filling | $73.70 | 9,135 | 3,483 |
| Tooth Extraction | $56.83 | 3,853 | 1,564 |
| Root Canal | $98.85 | 3,493 | 1,301 |
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