Based on public Medicaid payment data.
Kristofer Paul Sivanich
Medicaid Provider in Fort Hood, TX
Type
Individual Provider
Address
4431 68Th St
Fort Hood, TX 765445042
Phone
2542867401
NPI
1285945089
Procedures
3
Total Claims
2.7K
Patients Served
2.6K
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 | $45.86 | 2,633 | 2,557 |
| Dental Filling | $96.00 | 56 | 25 |
| Prescription Medications | $0.00 | 51 | 51 |
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