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Based on public Medicaid payment data.

Jaime Rafael Gomez

Medicaid Provider in New Braunfels, TX

Type

Individual Provider

Address

1778 S Walnut Ave

New Braunfels, TX 781301127

Phone

8306261002

NPI

1215389051

Procedures

2

Total Claims

365

Patients Served

353

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 $34.05 343 339
Dental Filling $92.49 22 14

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