Based on public Medicaid payment data.
Kevin Coppola
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
8606 Village Dr Ste B
San Antonio, TX 78217
Phone
2106546882
NPI
1740662477
Procedures
4
Total Claims
16.2K
Patients Served
16K
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 | $43.87 | 16,101 | 15,969 |
| Dental Filling | $69.95 | 55 | 26 |
| Tooth Extraction | $49.02 | 39 | 16 |
| Root Canal | $70.92 | 33 | 12 |
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