Based on public Medicaid payment data.
Elizabeth Manzo Sotomil
Medicaid Provider in Modesto, CA
Type
Individual Provider
Address
3400 Coffee Rd Apt 346
Modesto, CA 953551580
Phone
3238899303
NPI
1154629566
Procedures
3
Total Claims
2.2K
Patients Served
2K
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 | $54.71 | 1,464 | 1,452 |
| Root Canal | $443.44 | 431 | 367 |
| Dental Filling | $64.43 | 268 | 138 |
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