Based on public Medicaid payment data.
Alan Robin Jossy D'Souza
Medicaid Provider in Lubbock, TX
Type
Individual Provider
Address
2402 19Th St
Lubbock, TX 794014414
Phone
8889884066
NPI
1407333420
Procedures
2
Total Claims
10.2K
Patients Served
9.5K
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 | $38.71 | 10,091 | 9,415 |
| Dental Filling | $99.92 | 61 | 37 |
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