Based on public Medicaid payment data.
Jesse Ryan Rethlake
Medicaid Provider in Garland, TX
Type
Individual Provider
Address
1109 Northwest Hwy
Garland, TX 750415833
Phone
2142274863
NPI
1346859220
Procedures
1
Total Claims
148
Patients Served
140
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 | $28.60 | 148 | 140 |
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