Based on public Medicaid payment data.
Maria Patrocinio De Leon
Medicaid Provider in Costa Mesa, CA
Type
Individual Provider
Address
1942 Harbor Blvd
Costa Mesa, CA 926272669
Phone
9496311000
NPI
1376601211
Procedures
2
Total Claims
3.6K
Patients Served
3.4K
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 | $57.48 | 3,287 | 3,268 |
| Dental Filling | $60.46 | 312 | 141 |
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