Based on public Medicaid payment data.
Hector Lee Martinez
Medicaid Provider in Roseville, CA
Type
Individual Provider
Address
125 Ascot Dr Ste C
Roseville, CA 956613408
Phone
9167918834
NPI
1700948049
Procedures
3
Total Claims
1K
Patients Served
676
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 | $66.00 | 472 | 468 |
| Tooth Extraction | $118.47 | 448 | 145 |
| Dental Filling | $67.20 | 120 | 63 |
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