Based on public Medicaid payment data.
Justin Olsen
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
15600 San Pedro Ave Ste 107
San Antonio, TX 782323738
Phone
4355123442
NPI
1144570367
Procedures
2
Total Claims
4.1K
Patients Served
2.3K
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 |
|---|---|---|---|
| Tooth Extraction | $276.49 | 2,621 | 849 |
| Dental Cleaning & Exam | $14.98 | 1,446 | 1,429 |
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