Based on public Medicaid payment data.
Ilka Maza
Medicaid Provider in College Station, TX
Type
Individual Provider
Address
1530 Texas Ave S Ste 300
College Station, TX 778403390
Phone
9794214093
NPI
1386137370
Procedures
3
Total Claims
2.6K
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 | $24.62 | 1,747 | 1,747 |
| Dental Filling | $97.70 | 681 | 394 |
| Tooth Extraction | $65.63 | 171 | 99 |
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