Based on public Medicaid payment data.
Fatima Naurose Siraj
Medicaid Provider in Roanoke, TX
Type
Individual Provider
Address
860 East Highway 114 Ideal Dental
Roanoke, TX 76262
Phone
8174913000
NPI
1942683115
Procedures
3
Total Claims
33.8K
Patients Served
22.5K
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 Filling | $89.91 | 17,925 | 7,005 |
| Dental Cleaning & Exam | $39.84 | 15,834 | 15,454 |
| Tooth Extraction | $53.79 | 16 | 15 |
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