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Based on public Medicaid payment data.

An White

Medicaid Provider in Stafford, TX

Type

Individual Provider

Address

3607 S Main St # 107

Stafford, TX 774775406

Phone

8329307847

NPI

1700316429

Procedures

1

Total Claims

213

Patients Served

200

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 $23.95 213 200

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