Based on public Medicaid payment data.
David Robert Moon
Medicaid Provider in Palo Alto, CA
Type
Individual Provider
Address
409 Fulton St
Palo Alto, CA 943011326
Phone
9525951100
NPI
1073573093
Procedures
1
Total Claims
17
Patients Served
17
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 |
|---|---|---|---|
| X-Ray | $5.67 | 17 | 17 |
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