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Based on public Medicaid payment data.

Lissette Carla Ortega

Medicaid Provider in Garland, TX

Type

Individual Provider

Address

301 E Centerville Rd

Garland, TX 750414635

Phone

2143969494

NPI

1881901981

Procedures

2

Total Claims

6.3K

Patients Served

5.8K

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 $46.86 5,691 5,598
Dental Filling $99.74 588 220

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