Based on public Medicaid payment data.
Fiorella Guadalupe Valdespino Vivanco
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
426 S Buckner Blvd
Dallas, TX 752176521
Phone
4692482958
NPI
1154073013
Procedures
2
Total Claims
15.2K
Patients Served
11.2K
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 | $45.61 | 8,718 | 8,543 |
| Dental Filling | $90.03 | 6,513 | 2,706 |
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