Based on public Medicaid payment data.
Sandra Y Rodriguez
Medicaid Provider in Costa Mesa, CA
Type
Individual Provider
Address
2700 Peterson Pl
Costa Mesa, CA 926265300
Phone
7734266598
NPI
1558631234
Procedures
3
Total Claims
6.5K
Patients Served
5.5K
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 | $56.79 | 4,634 | 4,627 |
| Dental Filling | $57.31 | 1,841 | 876 |
| Dental Crown | $476.00 | 19 | 13 |
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