Based on public Medicaid payment data.
Julie Seo
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
3607 Old Spanish Trl # G
Houston, TX 770212312
Phone
2817479500
NPI
1841671021
Procedures
3
Total Claims
917
Patients Served
750
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 | $27.09 | 539 | 534 |
| Dental Filling | $47.12 | 363 | 203 |
| Tooth Extraction | $39.90 | 15 | 13 |
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