Based on public Medicaid payment data.
Jeremy Tyler Goodlett
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
3303 S Ww White Rd
San Antonio, TX 782224829
Phone
2103333738
NPI
1285829598
Procedures
3
Total Claims
3.7K
Patients Served
2.6K
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 | $6.35 | 2,028 | 1,854 |
| Tooth Extraction | $28.30 | 1,561 | 680 |
| Dental Filling | $1.55 | 78 | 54 |
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