Based on public Medicaid payment data.
Grace Setiawan
Medicaid Provider in Mesquite, TX
Type
Individual Provider
Address
5115 N Galloway Ave Ste 301
Mesquite, TX 751507535
Phone
9726866477
NPI
1659524452
Procedures
2
Total Claims
986
Patients Served
963
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 | $68.56 | 968 | 951 |
| Dental Filling | $93.19 | 18 | 12 |
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