Based on public Medicaid payment data.
Javier Perez
Medicaid Provider in Tyler, TX
Type
Individual Provider
Address
5201 S Broadway Ave Ste 240
Tyler, TX 757033768
Phone
3232828318
NPI
1255619466
Procedures
2
Total Claims
8.2K
Patients Served
6.6K
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 | $38.80 | 5,645 | 5,485 |
| Dental Filling | $97.24 | 2,515 | 1,121 |
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