Based on public Medicaid payment data.
Bollamma Poonacha Puchimada
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
8839 Culebra Rd Ste 105
San Antonio, TX 782514825
Phone
2107626778
NPI
1629578414
Procedures
4
Total Claims
48.2K
Patients Served
45.7K
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 | $48.46 | 39,252 | 38,892 |
| Dental Filling | $85.97 | 7,924 | 6,220 |
| Tooth Extraction | $55.65 | 672 | 417 |
| Root Canal | $78.08 | 329 | 199 |
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