Based on public Medicaid payment data.
Rhea Theresa Coronel Antolin
Medicaid Provider in Roanoke, TX
Type
Individual Provider
Address
105 Country View Dr Ste 300
Roanoke, TX 76262
Phone
6822372353
NPI
1396065504
Procedures
2
Total Claims
1.6K
Patients Served
1.3K
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 | $32.40 | 1,196 | 1,139 |
| Dental Filling | $99.35 | 401 | 142 |
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