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Based on public Medicaid payment data.

Monjit S Guram

Medicaid Provider in Fort Worth, TX

Type

Individual Provider

Address

3825 Yucca Ave

Fort Worth, TX 761116067

Phone

8179278500

NPI

1770594848

Procedures

3

Total Claims

14.6K

Patients Served

10.5K

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 $35.41 9,186 8,904
Dental Filling $85.83 5,265 1,542
Tooth Extraction $26.21 100 42

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