Based on public Medicaid payment data.
Mayra Sanjuanita Fuentes
Medicaid Provider in Ediburg, TX
Type
Individual Provider
Address
206 W. Mahl St.
Ediburg, TX 78539
Phone
9563834400
NPI
1386026433
Procedures
2
Total Claims
2.4K
Patients Served
2.2K
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 | $36.42 | 1,942 | 1,928 |
| Dental Filling | $91.85 | 457 | 269 |
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