Based on public Medicaid payment data.
Simeon O. Udunka
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
3939 S Polk St Ste 310
Dallas, TX 752244406
Phone
9723628000
NPI
1346680378
Procedures
2
Total Claims
2.2K
Patients Served
896
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 |
|---|---|---|---|
| Tooth Extraction | $278.26 | 1,820 | 568 |
| Dental Cleaning & Exam | $18.50 | 331 | 328 |
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