Based on public Medicaid payment data.
Manisha Raja
Medicaid Provider in Grand Prairie, TX
Type
Individual Provider
Address
801 Conover Dr
Grand Prairie, TX 750511519
Phone
2142663400
NPI
1003916370
Procedures
1
Total Claims
44
Patients Served
13
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 |
|---|---|---|---|
| Vaccines & Immunizations | $7.84 | 44 | 13 |
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