Based on public Medicaid payment data.
Amnerys Gato Pina
Medicaid Provider in Modesto, CA
Type
Individual Provider
Address
3025 Mchenry Ave
Modesto, CA 953501466
Phone
2095273990
NPI
1255090346
Procedures
4
Total Claims
997
Patients Served
709
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 Filling | $61.45 | 473 | 219 |
| Dental Cleaning & Exam | $67.69 | 422 | 422 |
| Dental Crown | $468.20 | 61 | 43 |
| Tooth Extraction | $119.00 | 41 | 25 |
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