Based on public Medicaid payment data.
Davis Do
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
4110 W Point Loma Blvd
San Diego, CA 921105603
Phone
6197016622
NPI
1356639876
Procedures
4
Total Claims
6.2K
Patients Served
5.7K
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 | $67.50 | 5,116 | 5,081 |
| Tooth Extraction | $115.83 | 465 | 199 |
| Dental Crown | $471.04 | 436 | 300 |
| Root Canal | $90.72 | 135 | 93 |
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