Based on public Medicaid payment data.
Luis E Real
Medicaid Provider in Chula Vista, CA
Type
Individual Provider
Address
690 E St
Chula Vista, CA 919102113
Phone
6194252122
NPI
1013905447
Procedures
4
Total Claims
6.8K
Patients Served
4.6K
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 Filling | $61.28 | 3,581 | 1,545 |
| Dental Cleaning & Exam | $72.68 | 2,970 | 2,948 |
| Dental Crown | $476.00 | 208 | 123 |
| Tooth Extraction | $119.00 | 29 | 15 |
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