Based on public Medicaid payment data.
Charles Su
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
7275 E Southgate Dr
Sacramento, CA 958232628
Phone
9163991318
NPI
1184723801
Procedures
2
Total Claims
636
Patients Served
472
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 | $62.05 | 392 | 376 |
| Tooth Extraction | $56.93 | 244 | 96 |
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