Based on public Medicaid payment data.
Wandana Mistry
Medicaid Provider in Grand Prairie, TX
Type
Individual Provider
Address
801 Conover Dr
Grand Prairie, TX 750511519
Phone
2145900193
NPI
1255689394
Procedures
2
Total Claims
450
Patients Served
426
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 | $30.89 | 413 | 405 |
| Dental Filling | $110.60 | 37 | 21 |
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