Based on public Medicaid payment data.
Brenna Sura
Medicaid Provider in Georgetown, TX
Type
Individual Provider
Address
4405 Williams Dr Ste 300
Georgetown, TX 786281391
Phone
5126862525
NPI
1669824611
Procedures
2
Total Claims
74
Patients Served
70
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 | $40.68 | 59 | 58 |
| Dental Crown | $729.00 | 15 | 12 |
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