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Based on public Medicaid payment data.

Egdon Libao San Luis

Medicaid Provider in Hayward, CA

Type

Individual Provider

Address

21471 Foothill Blvd

Hayward, CA 94541

Phone

5105376175

NPI

1396897278

Procedures

3

Total Claims

2.5K

Patients Served

2.3K

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 $34.84 1,781 1,753
Dental Filling $35.71 703 506
Dental Crown $453.50 16 14

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