Based on public Medicaid payment data.
Donna Stevens
Medicaid Provider in San Clemente, CA
Type
Individual Provider
Address
1001 Avenida Pico
San Clemente, CA 926736957
Phone
9494292085
NPI
1699984773
Procedures
1
Total Claims
50
Patients Served
46
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 | $63.54 | 50 | 46 |
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