Based on public Medicaid payment data.
Kellie Anita Johnson
Medicaid Provider in Ft Worth, TX
Type
Individual Provider
Address
815 E Berry St # B
Ft Worth, TX 761104414
Phone
8179205919
NPI
1346337375
Procedures
3
Total Claims
4K
Patients Served
3.7K
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 | $35.58 | 3,852 | 3,700 |
| Tooth Extraction | $31.91 | 80 | 25 |
| Dental Filling | $56.28 | 57 | 13 |
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