Based on public Medicaid payment data.
Man-Pik Lo
Medicaid Provider in Cupertino, CA
Type
Individual Provider
Address
20395 Pacifica Dr., #110
Cupertino, CA 95014
Phone
4088630388
NPI
1194940841
Procedures
2
Total Claims
1.9K
Patients Served
1.9K
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 | $75.14 | 1,885 | 1,883 |
| Dental Filling | $77.00 | 33 | 12 |
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