Based on public Medicaid payment data.
Lisa Le
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
430 N Woodlawn St Ste 1
Wichita, KS 672084340
Phone
3166842100
NPI
1528441375
Procedures
2
Total Claims
380
Patients Served
372
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 | $119.09 | 363 | 359 |
| Tooth Extraction | $89.55 | 17 | 13 |
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