Based on public Medicaid payment data.
Poonam Shah
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
11600 Bandera Rd Ste 126
San Antonio, TX 782506806
Phone
9513169574
NPI
1417331497
Procedures
4
Total Claims
26.5K
Patients Served
24.4K
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 | $50.19 | 23,032 | 22,613 |
| Dental Filling | $86.11 | 3,029 | 1,518 |
| Tooth Extraction | $58.27 | 224 | 146 |
| Root Canal | $78.24 | 177 | 96 |
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