Based on public Medicaid payment data.
Jessica Nianci Sun
Medicaid Provider in Lockhart, TX
Type
Individual Provider
Address
701 State Park Rd
Lockhart, TX 786443768
Phone
5123983429
NPI
1740934058
Procedures
1
Total Claims
12
Patients Served
12
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 | $54.88 | 12 | 12 |
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