Based on public Medicaid payment data.
Diane Lee
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
8839 Culebra Rd Ste 108
San Antonio, TX 782514825
Phone
2107626778
NPI
1710392147
Procedures
4
Total Claims
16.2K
Patients Served
12.7K
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 | $35.64 | 10,132 | 10,044 |
| Root Canal | $75.97 | 2,573 | 799 |
| Dental Filling | $68.83 | 2,038 | 1,189 |
| Tooth Extraction | $50.82 | 1,460 | 649 |
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