Based on public Medicaid payment data.
Kalyana Chakravarthi Ponangi
Medicaid Provider in Luling, TX
Type
Individual Provider
Address
651 E Crockett St
Luling, TX 786482602
Phone
8308756603
NPI
1730749888
Procedures
3
Total Claims
2K
Patients Served
1.7K
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 | $31.78 | 1,495 | 1,493 |
| Dental Filling | $66.99 | 327 | 155 |
| Tooth Extraction | $74.75 | 177 | 74 |
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