Based on public Medicaid payment data.
Eduardo Diaz
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
3638 El Cajon Blvd
San Diego, CA 921041500
Phone
6192200548
NPI
1922157288
Procedures
4
Total Claims
1.3K
Patients Served
895
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 Filling | $62.88 | 742 | 347 |
| Dental Cleaning & Exam | $74.05 | 513 | 512 |
| Dental Crown | $476.00 | 35 | 23 |
| Tooth Extraction | $119.00 | 17 | 13 |
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