Based on public Medicaid payment data.
Manjusha Rajendra Chari
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
1400 N Westmoreland Rd
Dallas, TX 752111656
Phone
2142660500
NPI
1134435290
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 |
|---|---|---|---|
| Office Visit | $109.21 | 12 | 12 |
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