Based on public Medicaid payment data.
Jenny Mai
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
13309 Montfort Dr
Dallas, TX 752405116
Phone
4692900609
NPI
1699441295
Procedures
4
Total Claims
14K
Patients Served
11K
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 | $41.30 | 8,024 | 7,653 |
| Dental Filling | $83.69 | 5,663 | 3,162 |
| Tooth Extraction | $119.00 | 227 | 98 |
| Dental Crown | $476.00 | 52 | 41 |
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