Based on public Medicaid payment data.
Venkatasuman Koppuravuri
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
3010 Lbj Fwy Ste 200
Dallas, TX 752342723
Phone
9724448888
NPI
1245469618
Procedures
3
Total Claims
1.5K
Patients Served
1.2K
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 | $36.46 | 950 | 914 |
| Dental Filling | $103.49 | 558 | 268 |
| Tooth Extraction | $101.05 | 39 | 24 |
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