Based on public Medicaid payment data.
Matthew Thomas Lettre
Medicaid Provider in Grapevine, TX
Type
Individual Provider
Address
1230 S Main St
Grapevine, TX 760515544
Phone
8179092920
NPI
1053842195
Procedures
4
Total Claims
15.3K
Patients Served
14K
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 | $38.89 | 13,020 | 12,786 |
| Dental Filling | $89.82 | 1,509 | 917 |
| Tooth Extraction | $48.11 | 406 | 195 |
| Root Canal | $79.04 | 395 | 108 |
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