Based on public Medicaid payment data.
Susanna Martirosov
Medicaid Provider in Garland, TX
Type
Individual Provider
Address
3325 Belt Line Rd
Garland, TX 750446913
Phone
9725301222
NPI
1962560516
Procedures
1
Total Claims
14
Patients Served
12
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 | $24.53 | 14 | 12 |
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