Based on public Medicaid payment data.
Jacqueline Fe Benito
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
1111 24Th St Ste 201
Sacramento, CA 958165019
Phone
9164425228
NPI
1396152138
Procedures
3
Total Claims
4.9K
Patients Served
4.4K
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 | $53.22 | 3,587 | 3,586 |
| Dental Filling | $63.61 | 1,290 | 813 |
| Tooth Extraction | $56.69 | 63 | 42 |
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