Based on public Medicaid payment data.
Catherine Le
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
2171 Ulric St Ste 100
San Diego, CA 921116691
Phone
8582688188
NPI
1083754725
Procedures
4
Total Claims
9K
Patients Served
7.9K
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 | $69.14 | 6,116 | 6,068 |
| Dental Filling | $65.12 | 2,493 | 1,574 |
| Dental Crown | $471.24 | 300 | 232 |
| Tooth Extraction | $93.79 | 100 | 72 |
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