Based on public Medicaid payment data.
Leslie Smith
Medicaid Provider in Gonzales, TX
Type
Individual Provider
Address
1600 N Sarah Dewitt Dr Ste 206
Gonzales, TX 786292714
Phone
8303392007
NPI
1962056200
Procedures
2
Total Claims
536
Patients Served
509
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 | $36.75 | 471 | 463 |
| Dental Filling | $57.38 | 65 | 46 |
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