Based on public Medicaid payment data.
Nichole Kostiuk
Medicaid Provider in Austin, TX
Type
Individual Provider
Address
9901 Brodie Ln Ste 130
Austin, TX 787485889
Phone
7372038538
NPI
1407424955
Procedures
3
Total Claims
1.3K
Patients Served
1.2K
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 | $38.38 | 977 | 945 |
| Dental Filling | $68.03 | 301 | 195 |
| Dental Crown | $685.79 | 14 | 13 |
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