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Based on public Medicaid payment data.

Marwan S Al-Daggistany

Medicaid Provider in Prosper, TX

Type

Individual Provider

Address

4451 Autumn Sage Dr

Prosper, TX 750781285

Phone

2104213203

NPI

1245837152

Procedures

1

Total Claims

1.7K

Patients Served

1.7K

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 $28.14 1,735 1,709

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