Based on public Medicaid payment data.
Micah Michelle Shaw
Medicaid Provider in Lemon Grove, CA
Type
Individual Provider
Address
1422 El Prado Ave
Lemon Grove, CA 919454310
Phone
6199809721
NPI
1801516828
Procedures
4
Total Claims
17.2K
Patients Served
16.3K
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 | $63.02 | 14,095 | 14,035 |
| Dental Filling | $63.71 | 1,885 | 1,518 |
| Tooth Extraction | $56.87 | 1,109 | 637 |
| Root Canal | $98.06 | 155 | 124 |
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