Based on public Medicaid payment data.
Alyse Davis
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
23535 W Ih 10 Ste 2202
San Antonio, TX 782571673
Phone
2106871444
NPI
1710465687
Procedures
3
Total Claims
4.5K
Patients Served
3.6K
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 | $4.86 | 3,040 | 2,893 |
| Tooth Extraction | $4.57 | 1,205 | 547 |
| Dental Filling | $5.79 | 218 | 167 |
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