Based on public Medicaid payment data.
Jared Gibbons
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
435 4Th Ave
San Diego, CA 921016234
Phone
6198502550
NPI
1740798446
Procedures
5
Total Claims
3K
Patients Served
2.5K
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 | $82.10 | 1,041 | 1,031 |
| Root Canal | $447.23 | 919 | 858 |
| Dental Crown | $471.12 | 443 | 314 |
| Dental Filling | $72.22 | 400 | 220 |
| Tooth Extraction | $119.00 | 153 | 94 |
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