Based on public Medicaid payment data.
Nicole Marie Lane
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
12311 Nacogdoches Rd
San Antonio, TX 782172138
Phone
2106567600
NPI
1023456282
Procedures
4
Total Claims
30.6K
Patients Served
28.4K
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 | $47.47 | 26,016 | 25,740 |
| Dental Filling | $91.51 | 4,357 | 2,547 |
| Tooth Extraction | $55.71 | 196 | 120 |
| Root Canal | $84.05 | 17 | 13 |
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