Based on public Medicaid payment data.
Tracy S Park
Medicaid Provider in Ceres, CA
Type
Individual Provider
Address
2760 3Rd Street
Ceres, CA 95307
Phone
2095374427
NPI
1073615084
Procedures
3
Total Claims
3.9K
Patients Served
3.5K
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 | $49.70 | 2,889 | 2,872 |
| Dental Filling | $71.18 | 899 | 573 |
| Dental Crown | $476.00 | 85 | 67 |
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