Based on public Medicaid payment data.
Andrew Ray Martinez
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
3203 Dutton Dr
Dallas, TX 752118824
Phone
9729481263
NPI
1114543121
Procedures
4
Total Claims
1.9K
Patients Served
788
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 |
|---|---|---|---|
| Root Canal | $80.41 | 1,364 | 324 |
| Dental Cleaning & Exam | $44.01 | 454 | 425 |
| Dental Filling | $98.46 | 63 | 27 |
| Tooth Extraction | $64.06 | 18 | 12 |
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