Based on public Medicaid payment data.
Martin Gonzalez
Medicaid Provider in Lewisville, TX
Type
Individual Provider
Address
2401 S Stemmons Fwy
Lewisville, TX 750678775
Phone
2142214867
NPI
1356660724
Procedures
3
Total Claims
18.8K
Patients Served
17.8K
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 | $31.82 | 16,936 | 16,809 |
| Dental Filling | $72.05 | 1,805 | 960 |
| Tooth Extraction | $65.92 | 23 | 13 |
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