Based on public Medicaid payment data.
Sandra Vergara
Medicaid Provider in Wichita Falls, TX
Type
Individual Provider
Address
1004 Brook Ave
Wichita Falls, TX 763015031
Phone
9402646000
NPI
1528000841
Procedures
2
Total Claims
194
Patients Served
166
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 | $34.40 | 154 | 153 |
| Tooth Extraction | $286.65 | 40 | 13 |
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