Based on public Medicaid payment data.
Lucy Xunyang Guo
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
12572 Caminito De La Gallarda
San Diego, CA 921282376
Phone
8582611829
NPI
1669100582
Procedures
3
Total Claims
2K
Patients Served
1.5K
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 Filling | $62.24 | 1,420 | 910 |
| Dental Cleaning & Exam | $65.83 | 558 | 557 |
| Dental Crown | $476.00 | 16 | 12 |
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