Based on public Medicaid payment data.
Sai Goolla
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
1173 Edgebrook Dr Ste B
Houston, TX 770341862
Phone
7133255186
NPI
1023774544
Procedures
3
Total Claims
10.2K
Patients Served
9.3K
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 | $41.28 | 8,337 | 8,210 |
| Dental Filling | $86.53 | 1,791 | 1,027 |
| Tooth Extraction | $59.13 | 39 | 26 |
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