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Based on public Medicaid payment data.

Keith Sonneveld

Medicaid Provider in Fort Worth, TX

Type

Individual Provider

Address

5825 Edwards Ranch Rd Ste 200

Fort Worth, TX 761094142

Phone

8179271818

NPI

1386058584

Procedures

2

Total Claims

7K

Patients Served

3.8K

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
Tooth Extraction $223.78 5,138 2,005
Dental Cleaning & Exam $18.26 1,855 1,822

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