Based on public Medicaid payment data.
Andrea Pilar Gonzales
Medicaid Provider in Plano, TX
Type
Individual Provider
Address
2213 Mcdermott Rd
Plano, TX 750254613
Phone
2142567330
NPI
1427111731
Procedures
4
Total Claims
4.7K
Patients Served
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 | $24.29 | 1,732 | 1,687 |
| Dental Filling | $72.54 | 1,339 | 612 |
| Tooth Extraction | $58.99 | 952 | 380 |
| Root Canal | $78.30 | 629 | 317 |
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