Based on public Medicaid payment data.
Jennifer Ricafrente Mata
Medicaid Provider in Katy, TX
Type
Individual Provider
Address
21830 Kingsland Blvd Ste 104
Katy, TX 774502500
Phone
2815787100
NPI
1780893552
Procedures
3
Total Claims
2.5K
Patients Served
2.4K
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 | $33.25 | 2,303 | 2,281 |
| Dental Filling | $94.02 | 169 | 112 |
| Root Canal | $84.05 | 41 | 24 |
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