Based on public Medicaid payment data.
Subash Mutyala
Medicaid Provider in Round Rock, TX
Type
Individual Provider
Address
1500 A W Grimes Blvd
Round Rock, TX 786647836
Phone
5122387300
NPI
1639361538
Procedures
4
Total Claims
18.9K
Patients Served
17.5K
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 Cleaning & Exam | $44.10 | 18,202 | 17,157 |
| Tooth Extraction | $58.49 | 570 | 307 |
| Dental Filling | $98.79 | 88 | 55 |
| Root Canal | $83.74 | 16 | 12 |
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