Based on public Medicaid payment data.
Shannon De Vera
Medicaid Provider in Spring, TX
Type
Individual Provider
Address
19077 Champion Forest Dr
Spring, TX 773798516
Phone
8327617428
NPI
1245783323
Procedures
1
Total Claims
853
Patients Served
826
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 | $38.23 | 853 | 826 |
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