Based on public Medicaid payment data.
Grace Tamonan Macarubbo
Medicaid Provider in Modesto, CA
Type
Individual Provider
Address
2020 Coffee Rd Suite E
Modesto, CA 953552421
Phone
2095719855
NPI
1447326467
Procedures
3
Total Claims
27.5K
Patients Served
25.2K
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 | $48.56 | 21,235 | 21,153 |
| Dental Filling | $60.35 | 6,072 | 3,968 |
| Tooth Extraction | $57.15 | 228 | 118 |
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