Based on public Medicaid payment data.
Dan Xie
Medicaid Provider in Dublin, CA
Type
Individual Provider
Address
6400 Village Pkwy Ste 204
Dublin, CA 945683006
Phone
5102448550
NPI
1245699693
Procedures
4
Total Claims
9K
Patients Served
6.2K
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 | $67.33 | 4,509 | 4,495 |
| Dental Filling | $71.98 | 4,392 | 1,609 |
| Dental Crown | $476.00 | 80 | 53 |
| Tooth Extraction | $57.40 | 31 | 12 |
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