Based on public Medicaid payment data.
Christian Djuanda
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
7777 Forest Ln
Dallas, TX 752302571
Phone
9725667000
NPI
1518202381
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Emergency Room Visit | $30.42 | 12 | 12 |
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