Based on public Medicaid payment data.
Todd Wentland
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
1500 S Main St
Fort Worth, TX 761044917
Phone
8587748117
NPI
1134461106
Procedures
3
Total Claims
2.2K
Patients Served
929
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 | $251.03 | 1,905 | 632 |
| Dental Cleaning & Exam | $17.84 | 293 | 284 |
| Office Visit | $68.46 | 13 | 13 |
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