Based on public Medicaid payment data.
Jairo Montoya
Medicaid Provider in Watauga, TX
Type
Individual Provider
Address
6245 Rufe Snow Dr Ste 240
Watauga, TX 761483350
Phone
8179857550
NPI
1942853155
Procedures
4
Total Claims
14.2K
Patients Served
12.7K
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 | $39.57 | 12,220 | 11,973 |
| Dental Filling | $90.62 | 1,356 | 558 |
| Root Canal | $72.15 | 503 | 120 |
| Tooth Extraction | $64.89 | 163 | 58 |
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