Based on public Medicaid payment data.
Maria I Mendoza
Medicaid Provider in Round Rock, TX
Type
Individual Provider
Address
4010 Sandy Brook Dr
Round Rock, TX 786651516
Phone
5122199827
NPI
1801802830
Procedures
4
Total Claims
14.2K
Patients Served
10.9K
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 | $39.23 | 9,221 | 8,836 |
| Dental Filling | $77.88 | 4,885 | 1,972 |
| Tooth Extraction | $55.38 | 46 | 28 |
| Root Canal | $80.23 | 22 | 14 |
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