Based on public Medicaid payment data.
Jordan David Prieto
Medicaid Provider in Fresno, CA
Type
Individual Provider
Address
7525 N Cedar Ave Ste 105
Fresno, CA 937202698
Phone
5594396600
NPI
1255643508
Procedures
3
Total Claims
130
Patients Served
97
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 |
|---|---|---|---|
| Root Canal | $99.40 | 61 | 34 |
| Dental Cleaning & Exam | $66.00 | 43 | 43 |
| Tooth Extraction | $57.40 | 26 | 20 |
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