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Based on public Medicaid payment data.

Jackie Dong

Medicaid Provider in Oakland, CA

Type

Individual Provider

Address

2648 International Blvd Ste 602

Oakland, CA 946011547

Phone

5105328972

NPI

1770253585

Procedures

4

Total Claims

11.4K

Patients Served

7.8K

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 Filling $79.81 5,411 2,280
Dental Cleaning & Exam $71.52 4,866 4,860
Tooth Extraction $107.03 920 512
Dental Crown $476.00 164 98

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