Based on public Medicaid payment data.
Autrine Loghmanian
Medicaid Provider in Austin, TX
Type
Individual Provider
Address
4410 E Riverside Dr Ste 150
Austin, TX 78741
Phone
5126695049
NPI
1154814317
Procedures
2
Total Claims
2.4K
Patients Served
2.2K
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 | $36.24 | 2,184 | 2,105 |
| Dental Filling | $91.35 | 250 | 113 |
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