Based on public Medicaid payment data.
Svetlana Simonovich
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
14207 Coit Rd
Dallas, TX 752542700
Phone
9724901600
NPI
1912262841
Procedures
4
Total Claims
34.4K
Patients Served
22.7K
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 Filling | $83.18 | 16,989 | 5,851 |
| Dental Cleaning & Exam | $44.31 | 16,845 | 16,585 |
| Tooth Extraction | $28.57 | 392 | 194 |
| Root Canal | $72.04 | 140 | 37 |
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