Based on public Medicaid payment data.
Jose Enrique Arevalo
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
1730 Sw Military Dr Ste 102
San Antonio, TX 782211400
Phone
2106100807
NPI
1689872251
Procedures
3
Total Claims
468
Patients Served
458
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 | $13.72 | 327 | 322 |
| Root Canal | $508.34 | 114 | 110 |
| Dental Filling | $105.97 | 27 | 26 |
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