Based on public Medicaid payment data.
Brittany Loren Su
Medicaid Provider in Orange, CA
Type
Individual Provider
Address
272 S Notre Dame St
Orange, CA 928694375
Phone
9492474700
NPI
1477922078
Procedures
4
Total Claims
26.1K
Patients Served
20.7K
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 | $48.02 | 14,791 | 14,758 |
| Dental Filling | $62.20 | 7,441 | 3,865 |
| Tooth Extraction | $56.95 | 2,077 | 1,114 |
| Root Canal | $98.52 | 1,767 | 914 |
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