Based on public Medicaid payment data.
Kassandra Gorena
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
9234 N Loop 1604 W
San Antonio, TX 782492983
Phone
2106811121
NPI
1932638079
Procedures
2
Total Claims
182
Patients Served
171
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 | $40.31 | 162 | 158 |
| Dental Filling | $68.29 | 20 | 13 |
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