Based on public Medicaid payment data.
Lisa Itaya
Medicaid Provider in San Francisco, CA
Type
Individual Provider
Address
155 5Th St
San Francisco, CA 941032919
Phone
4157493319
NPI
1538164314
Procedures
3
Total Claims
921
Patients Served
831
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 | $52.04 | 455 | 454 |
| Dental Filling | $59.24 | 303 | 217 |
| Root Canal | $62.61 | 163 | 160 |
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