Based on public Medicaid payment data.
Diana S. Divanji
Medicaid Provider in Irving, TX
Type
Individual Provider
Address
6121 State Hwy 161 Ste 200
Irving, TX 750382270
Phone
4696474040
NPI
1306166681
Procedures
1
Total Claims
19
Patients Served
13
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 |
|---|---|---|---|
| Office Visit | $26.80 | 19 | 13 |
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