Based on public Medicaid payment data.
Luis Eduardo Calixto
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
6368 El Cajon Blvd
San Diego, CA 921152643
Phone
6192878437
NPI
1255305702
Procedures
5
Total Claims
5.7K
Patients Served
4.7K
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 | $74.76 | 2,674 | 2,658 |
| Tooth Extraction | $117.31 | 1,927 | 1,149 |
| Dental Crown | $471.73 | 558 | 445 |
| Root Canal | $463.40 | 393 | 383 |
| Dental Filling | $63.94 | 120 | 76 |
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