Based on public Medicaid payment data.
Ellie Song
Medicaid Provider in Tukwila, WA
Type
Individual Provider
Address
13030 Military Rd S Ste 210
Tukwila, WA 981683080
Phone
2068393600
NPI
1184971160
Procedures
3
Total Claims
6.9K
Patients Served
6K
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 | $29.28 | 4,441 | 4,337 |
| Dental Filling | $63.23 | 2,462 | 1,617 |
| Tooth Extraction | $59.15 | 40 | 30 |
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