Based on public Medicaid payment data.
Clark Hepworth
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
4965 W Commerce St
San Antonio, TX 782371508
Phone
2107023206
NPI
1891217295
Procedures
2
Total Claims
936
Patients Served
782
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 | $31.15 | 850 | 758 |
| Dental Filling | $47.88 | 86 | 24 |
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