Based on public Medicaid payment data.
Roberto V Espejo
Medicaid Provider in Mountain View, CA
Type
Individual Provider
Address
990 Bay St
Mountain View, CA 940402681
Phone
6596984000
NPI
1558572859
Procedures
4
Total Claims
3.2K
Patients Served
2.8K
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 | $66.58 | 2,492 | 2,483 |
| Dental Filling | $56.69 | 673 | 293 |
| Dental Crown | $473.43 | 69 | 58 |
| Root Canal | $463.40 | 12 | 12 |
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