Based on public Medicaid payment data.
Jenny Sisombath
Medicaid Provider in Euless, TX
Type
Individual Provider
Address
900 Grange Hall Dr
Euless, TX 760391859
Phone
6129784507
NPI
1538511811
Procedures
2
Total Claims
1.5K
Patients Served
1.4K
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 | $34.49 | 1,422 | 1,390 |
| Dental Filling | $93.80 | 40 | 12 |
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