Based on public Medicaid payment data.
Gary Ricketts
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
5177 Richmond Ave
Houston, TX 77056
Phone
7139609926
NPI
1093822645
Procedures
1
Total Claims
16
Patients Served
16
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 | $28.85 | 16 | 16 |
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