Based on public Medicaid payment data.
Lizanne Olivia Holloway
Medicaid Provider in Arlington, TX
Type
Individual Provider
Address
900 E Copeland Rd Ste 200
Arlington, TX 760111392
Phone
8176720036
NPI
1053839449
Procedures
2
Total Claims
838
Patients Served
752
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 | $32.05 | 746 | 715 |
| Dental Filling | $78.81 | 92 | 37 |
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