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Based on public Medicaid payment data.

An Thi Khanh Ly

Medicaid Provider in Wichita Falls, TX

Type

Individual Provider

Address

3711 Gregory St

Wichita Falls, TX 763081614

Phone

9403866029

NPI

1811666464

Procedures

3

Total Claims

24.5K

Patients Served

22.5K

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 $30.59 19,177 19,041
Dental Filling $67.13 5,021 3,230
Tooth Extraction $32.23 327 239

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