Based on public Medicaid payment data.
Leonid A Tolstunov
Medicaid Provider in San Francisco, CA
Type
Individual Provider
Address
99 W Portal Ave
San Francisco, CA 941271303
Phone
4156616006
NPI
1255487179
Procedures
2
Total Claims
191
Patients Served
117
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 |
|---|---|---|---|
| Tooth Extraction | $336.08 | 97 | 37 |
| Dental Cleaning & Exam | $131.23 | 94 | 80 |
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