Based on public Medicaid payment data.
Khaled A Tarboush
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
9130 Wurzbach Rd
San Antonio, TX 782401070
Phone
2103849383
NPI
1558494344
Procedures
4
Total Claims
26.7K
Patients Served
24.5K
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 | $41.15 | 23,198 | 22,978 |
| Tooth Extraction | $57.30 | 2,105 | 782 |
| Dental Filling | $86.39 | 1,395 | 718 |
| Root Canal | $596.48 | 31 | 27 |
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