Based on public Medicaid payment data.
Shaun Xun Xu
Medicaid Provider in Rosemead, CA
Type
Individual Provider
Address
2111 San Gabriel Blvd
Rosemead, CA 917703600
Phone
6266276249
NPI
1982915799
Procedures
2
Total Claims
569
Patients Served
562
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 | $67.16 | 550 | 550 |
| Tooth Extraction | $57.40 | 19 | 12 |
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