Based on public Medicaid payment data.
Kongyan Drew Nicely
Medicaid Provider in Goliad, TX
Type
Individual Provider
Address
317 S Market St
Goliad, TX 779634167
Phone
3616452381
NPI
1194177337
Procedures
2
Total Claims
2.1K
Patients Served
1.9K
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 | $42.06 | 1,827 | 1,808 |
| Dental Filling | $81.69 | 230 | 114 |
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