Based on public Medicaid payment data.
Edward M. Mikowicz
Medicaid Provider in Lompoc, CA
Type
Individual Provider
Address
112 South B St
Lompoc, CA 934362354
Phone
8057366571
NPI
1275675902
Procedures
4
Total Claims
18.6K
Patients Served
18.1K
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 | $44.62 | 17,156 | 17,013 |
| Dental Filling | $64.99 | 905 | 626 |
| Root Canal | $95.88 | 477 | 396 |
| Tooth Extraction | $56.57 | 69 | 41 |
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