Based on public Medicaid payment data.
Antonia Peregonov Koob
Medicaid Provider in Austin, TX
Type
Individual Provider
Address
2500 W Parmer Ln
Austin, TX 787274233
Phone
5128376100
NPI
1649280421
Procedures
1
Total Claims
20
Patients Served
13
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 | $0.00 | 20 | 13 |
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