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Based on public Medicaid payment data.

Lorraine Bautista-Ngo

Medicaid Provider in Tomball, TX

Type

Individual Provider

Address

24179 State Highway 249 Ste B

Tomball, TX 773758299

Phone

2813579460

NPI

1134500317

Procedures

2

Total Claims

7K

Patients Served

5.9K

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 $33.84 5,417 5,238
Dental Filling $90.34 1,539 707

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