Based on public Medicaid payment data.
Tejas K Modi
Medicaid Provider in Perris, CA
Type
Individual Provider
Address
75 W Nuevo Rd Ste A B
Perris, CA 925710801
Phone
9516571203
NPI
1912007600
Procedures
5
Total Claims
19.6K
Patients Served
18.4K
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 | $51.47 | 16,571 | 16,483 |
| Dental Filling | $61.86 | 1,785 | 1,156 |
| Dental Crown | $476.00 | 572 | 386 |
| Tooth Extraction | $106.98 | 563 | 336 |
| Root Canal | $450.53 | 72 | 68 |
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