Based on public Medicaid payment data.
Romeo Dipasupil
Medicaid Provider in Jackson, CA
Type
Individual Provider
Address
12150 New York Ranch Rd
Jackson, CA 956429407
Phone
2092572460
NPI
1548470024
Procedures
1
Total Claims
93
Patients Served
86
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 | $0.00 | 93 | 86 |
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