Based on public Medicaid payment data.
Samuel Isaias Sauza Lopez
Medicaid Provider in Escondido, CA
Type
Individual Provider
Address
431 West 13Th Ave
Escondido, CA 92025
Phone
7607439003
NPI
1629154166
Procedures
2
Total Claims
10.2K
Patients Served
9.7K
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 | $47.74 | 9,522 | 9,483 |
| Dental Filling | $63.52 | 660 | 245 |
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