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Based on public Medicaid payment data.

Marlene Mendicino Sumner

Medicaid Provider in San Antonio, TX

Type

Individual Provider

Address

834 Nw Loop 410 Ste 112

San Antonio, TX 782165604

Phone

2103400303

NPI

1447761853

Procedures

4

Total Claims

7.9K

Patients Served

5.7K

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 $31.55 5,064 4,619
Dental Filling $64.18 2,479 976
Root Canal $46.76 284 110
Tooth Extraction $20.73 51 26

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