Based on public Medicaid payment data.
Ricardo Jose De La Garza
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
9514 Potranco Rd.
San Antonio, TX 78251
Phone
2106808080
NPI
1750386868
Procedures
4
Total Claims
26.6K
Patients Served
25.8K
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 | $48.67 | 25,297 | 25,117 |
| Root Canal | $77.03 | 930 | 476 |
| Tooth Extraction | $56.07 | 246 | 139 |
| Dental Filling | $74.47 | 113 | 86 |
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