Based on public Medicaid payment data.
Sowmya Renuka
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
4200 South Fwy
Fort Worth, TX 761151400
Phone
3096602120
NPI
1609375658
Procedures
2
Total Claims
1.8K
Patients Served
1.4K
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 | $20.90 | 1,453 | 1,259 |
| Dental Filling | $55.50 | 381 | 143 |
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