Based on public Medicaid payment data.
Roderick Fajardo Pangilinan
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
4123 University Ave
San Diego, CA 921051418
Phone
6195210033
NPI
1386711901
Procedures
4
Total Claims
17.7K
Patients Served
15.4K
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 | $55.68 | 11,792 | 11,783 |
| Dental Filling | $61.34 | 5,782 | 3,492 |
| Dental Crown | $476.00 | 105 | 97 |
| Root Canal | $458.94 | 52 | 51 |
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