Based on public Medicaid payment data.
Jennifer Ta Ly
Medicaid Provider in Vancouver, WA
Type
Individual Provider
Address
14201 Ne 20Th Ave Ste A101
Vancouver, WA 986866411
Phone
3608820222
NPI
1851068506
Procedures
3
Total Claims
1.7K
Patients Served
1.5K
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 | $0.09 | 1,101 | 1,085 |
| Dental Filling | $0.00 | 574 | 437 |
| Tooth Extraction | $0.00 | 28 | 24 |
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