Based on public Medicaid payment data.
Sergio Pereira
Medicaid Provider in Elk Grove, CA
Type
Individual Provider
Address
5700 Whitelock Pkwy
Elk Grove, CA 957575925
Phone
9167143344
NPI
1679650360
Procedures
3
Total Claims
10K
Patients Served
8.9K
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 | $25.40 | 8,376 | 7,991 |
| Dental Filling | $33.56 | 1,428 | 810 |
| Tooth Extraction | $34.64 | 194 | 94 |
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