Based on public Medicaid payment data.
Juan Manuel Moya
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
9737 Aero Dr Ste 210
San Diego, CA 921231854
Phone
8583368478
NPI
1932976404
Procedures
2
Total Claims
287
Patients Served
277
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 | $76.78 | 261 | 261 |
| Tooth Extraction | $119.00 | 26 | 16 |
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