Based on public Medicaid payment data.
Kourtney Regina Logan
Medicaid Provider in Jbsa Ft Sam Houston, TX
Type
Individual Provider
Address
1811 Army Blvd
Jbsa Ft Sam Houston, TX 782342686
Phone
2102210826
NPI
1326334269
Procedures
1
Total Claims
96
Patients Served
94
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 | $30.76 | 96 | 94 |
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