Based on public Medicaid payment data.
Leroy Dimitrios Horton
Medicaid Provider in Tacoma, WA
Type
Individual Provider
Address
1901 S Union Ave
Tacoma, WA 984051702
Phone
2535729777
NPI
1578763249
Procedures
2
Total Claims
494
Patients Served
399
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 | $22.16 | 344 | 331 |
| Tooth Extraction | $58.37 | 150 | 68 |
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