Based on public Medicaid payment data.
Jordan Steven Rodriguez
Medicaid Provider in Lompoc, CA
Type
Individual Provider
Address
1009 N H St Ste P
Lompoc, CA 934368141
Phone
8052424044
NPI
1831803261
Procedures
4
Total Claims
8.6K
Patients Served
7K
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 | $68.08 | 5,044 | 5,041 |
| Dental Filling | $63.71 | 3,136 | 1,679 |
| Dental Crown | $471.40 | 210 | 159 |
| Tooth Extraction | $62.01 | 187 | 75 |
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