Based on public Medicaid payment data.
John Ralston Gober
Medicaid Provider in Colleyville, TX
Type
Individual Provider
Address
5708 Colleyville Blvd
Colleyville, TX 760346064
Phone
8174288575
NPI
1598876922
Procedures
4
Total Claims
18K
Patients Served
10.2K
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 | $25.90 | 5,314 | 5,191 |
| Dental Filling | $76.88 | 4,665 | 1,923 |
| Root Canal | $79.55 | 4,493 | 1,682 |
| Tooth Extraction | $59.09 | 3,549 | 1,427 |
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