Based on public Medicaid payment data.
Jefferson Tyler Henthorn
Medicaid Provider in Conroe, TX
Type
Individual Provider
Address
1403 N Loop 336 W Ste C
Conroe, TX 773043672
Phone
9362424031
NPI
1730863275
Procedures
2
Total Claims
672
Patients Served
562
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 | $40.12 | 512 | 496 |
| Dental Filling | $86.08 | 160 | 66 |
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