Based on public Medicaid payment data.
Johnathon Mendoza
Medicaid Provider in Odessa, TX
Type
Individual Provider
Address
2260 Linda Ave
Odessa, TX 797632661
Phone
4323334867
NPI
1386015170
Procedures
2
Total Claims
2.3K
Patients Served
2.3K
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 | $37.14 | 2,246 | 2,203 |
| Dental Filling | $91.48 | 84 | 56 |
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