Based on public Medicaid payment data.
Ehesar Caffroni
Medicaid Provider in Manor, TX
Type
Individual Provider
Address
11828 Ring Dr Ste 102
Manor, TX 786532106
Phone
5126405435
NPI
1275932964
Procedures
2
Total Claims
310
Patients Served
288
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 | $30.88 | 274 | 263 |
| Dental Filling | $79.68 | 36 | 25 |
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