Based on public Medicaid payment data.
Lei Luo
Medicaid Provider in San Bruno, CA
Type
Individual Provider
Address
560 Jenevein Ave
San Bruno, CA 940664408
Phone
6505836032
NPI
1740458223
Procedures
4
Total Claims
3.1K
Patients Served
2.7K
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 | $59.58 | 2,119 | 2,115 |
| Dental Crown | $516.35 | 713 | 436 |
| Tooth Extraction | $59.41 | 229 | 109 |
| Dental Filling | $52.95 | 46 | 27 |
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