Based on public Medicaid payment data.
Andreina Gabriela Acconciagioco
Medicaid Provider in Tyler, TX
Type
Individual Provider
Address
2830 W Grande Blvd Apt 14306
Tyler, TX 757033595
Phone
3463208547
NPI
1376306027
Procedures
2
Total Claims
99
Patients Served
91
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 | $35.20 | 76 | 76 |
| Dental Filling | $99.32 | 23 | 15 |
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