Based on public Medicaid payment data.
Theresa Ann Kazmierczak
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
803 Castroville Rd
San Antonio, TX 782373153
Phone
2104357653
NPI
1225198880
Procedures
3
Total Claims
13.1K
Patients Served
12.1K
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 | $48.81 | 11,373 | 11,251 |
| Dental Filling | $90.98 | 1,673 | 845 |
| Tooth Extraction | $41.46 | 52 | 39 |
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