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Based on public Medicaid payment data.

Samout Kettavong

Medicaid Provider in Dallas, TX

Type

Individual Provider

Address

1881 Sylvan Ave Ste 150

Dallas, TX 752082002

Phone

2147431200

NPI

1962982017

Procedures

1

Total Claims

591

Patients Served

325

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
Speech Therapy $127.11 591 325

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