Based on public Medicaid payment data.
Rosa Virginia Osteicoechea R
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
4201 E Berry St
Fort Worth, TX 761055053
Phone
8175358200
NPI
1689361206
Procedures
1
Total Claims
104
Patients Served
104
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 | $32.49 | 104 | 104 |
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