Based on public Medicaid payment data.
Calvin Tan
Medicaid Provider in Los Banos, CA
Type
Individual Provider
Address
725 I St
Los Banos, CA 936354308
Phone
2098261094
NPI
1700215365
Procedures
4
Total Claims
538
Patients Served
484
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 | $36.41 | 340 | 340 |
| Dental Filling | $56.61 | 97 | 57 |
| Office Visit | $18.50 | 61 | 61 |
| Tooth Extraction | $53.30 | 40 | 26 |
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