Based on public Medicaid payment data.
Kelsey Beth Pena Garza
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
24200 Ih 10 W Ste 112
San Antonio, TX 782571150
Phone
2106871133
NPI
1801326244
Procedures
1
Total Claims
14
Patients Served
14
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 | $14.42 | 14 | 14 |
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