Based on public Medicaid payment data.
Debbie Carlos Tan
Medicaid Provider in Hemet, CA
Type
Individual Provider
Address
475 W Stetson Ave Ste L
Hemet, CA 925437073
Phone
9519254002
NPI
1154499473
Procedures
4
Total Claims
7.8K
Patients Served
7.4K
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 | $57.17 | 6,807 | 6,784 |
| Dental Filling | $63.57 | 884 | 581 |
| Tooth Extraction | $55.91 | 78 | 42 |
| Dental Crown | $476.00 | 15 | 13 |
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