Based on public Medicaid payment data.
Lisa Susan Jacob
Medicaid Provider in Kyle, TX
Type
Individual Provider
Address
2810 Dacy Ln
Kyle, TX 786406322
Phone
2102337000
NPI
1386688331
Procedures
3
Total Claims
5.4K
Patients Served
5.3K
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 | $34.68 | 5,333 | 5,222 |
| Dental Filling | $71.47 | 67 | 40 |
| Tooth Extraction | $40.04 | 32 | 12 |
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