Based on public Medicaid payment data.
Prathima Rasamsetty
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
306 Richland Hills Dr Ste 103
San Antonio, TX 782453233
Phone
2106745370
NPI
1790941912
Procedures
4
Total Claims
4.3K
Patients Served
2.5K
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 |
|---|---|---|---|
| Tooth Extraction | $87.24 | 2,138 | 440 |
| Dental Cleaning & Exam | $33.28 | 1,896 | 1,884 |
| Dental Filling | $119.40 | 219 | 141 |
| Dental Crown | $445.13 | 18 | 12 |
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