Based on public Medicaid payment data.
Dania Paulina Perez Perez
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
5638 Mission Center Rd Ste 107
San Diego, CA 921084348
Phone
6192200159
NPI
1609652254
Procedures
4
Total Claims
3.8K
Patients Served
3.2K
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 | $67.40 | 2,146 | 2,146 |
| Dental Filling | $64.30 | 1,441 | 862 |
| Dental Crown | $476.00 | 132 | 102 |
| Tooth Extraction | $71.95 | 84 | 44 |
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