Based on public Medicaid payment data.
Radhika Atla
Medicaid Provider in Cupertino, CA
Type
Individual Provider
Address
10387 Somerset Ct
Cupertino, CA 950143114
Phone
4084201762
NPI
1194917609
Procedures
3
Total Claims
13.7K
Patients Served
13.4K
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 | $62.85 | 13,311 | 13,239 |
| Tooth Extraction | $115.13 | 338 | 194 |
| Dental Filling | $63.84 | 20 | 15 |
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