Based on public Medicaid payment data.
Matthew Pedroza
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
4625 Feathercrest Dr.
Fort Worth, TX 76137
Phone
8177819117
NPI
1396269429
Procedures
4
Total Claims
20.9K
Patients Served
14.8K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $41.32 | 10,686 | 10,481 |
| Dental Filling | $86.84 | 9,022 | 3,863 |
| Root Canal | $82.74 | 1,097 | 430 |
| Tooth Extraction | $37.94 | 57 | 41 |
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